Trek Form Trek Registration Form - Ben Nevis 18 Name * First Last * Last Email * Telephone Number * Address * Address Line 2 City * Postal Code * Gender * Male Female Unfortunately due to the nature of the trek, we cannot accept female participants on this trek. Don't worry we will insha Allah be holding our post Ramadan Snowdon trek which will be open to both males and females. We ask Allah to reward you for your intention! Are you aged 18 or above? * Yes No Are you being accompanied by a parent or guardian? * Yes No Unfortunately we cannot accept anyone 16 or under who is not accompanied under the care of a parent or guardian. We ask Allah to reward you for your intention! Give details of your parent and guardian * Emergency Contact * Do you have any medical conditions that could affect your ability to partake in the trek? * Yes No Do you require transport to/from Ben Nevis (currently transport will leave from East London. Other areas can be arranged subject to demand)? * Yes No Please give details of medical conditions * How much are you aiming to raise for MRDF? £500 £750 £1000 £2500 Checkboxes Even though guidance will be provided and First Aiders available, I agree, as an adult, I am responsible for my own safety. I agree to listen attentively to guidance and advice and act as a mature adult to ensure safety for myself and others. If there are any unfortunate incidents or accidents, I agree that no member of the organising team, challengers or MRDF can be held accountable or responsible.