You should complete this form if the following two statements are true:

  • You wish to register yourself to take part in an activity organised by Up Route.
  • You are aged 18 years or older.

If you wish to register a young person, under 18 years of age, to participate in an activity organised by Up Route, and you are the parent or guardian who will accompany them on the day, please complete this form to provide your details and our Under 18 Registration Form to provide their details.

Fields marked with an asterisk (*) must be completed before submitting this form.

Section 01 - Participants Details

If you are registering to take part in an activity organised by Up Route, please enter your own details below.

First Name*
Last Name*

Email*
Mobile Phone*

Address*

Postcode*
Date of Birth*

Section 02 - Medical Disclosure

It is extremely important that any existing medical conditions, known allergies or the use of any medications, prescription or otherwise, that may effect your well-being, or the well-being of those around you, are disclosed prior to undertaking an activity organised by Up Route. If applicable, please give details below.

If you are not affected by any medical conditions and do not require medication, please make this known.

Medical Disclosure*

Section 03 - Emergency Contact

Please provide details of a reliable third party who should be contacted in case of emergency.

First Name*
Last Name*

Email*
Mobile Phone*

Address*

Postcode*
Relationship to Participant*

Section 04 - Photography

For the purpose of promotion and marketing, Up Route or its representatives may take photographs or make video recordings during the activities for which you are registering. Up Route reserves the right to use the images or recordings in any media and for any purpose, except where defamatory, libellous or otherwise unlawful, without notifying or remunerating those appearing in such images or recordings.

I understand that I may appear in such photographic images or video recordings.

I agree to these images or recordings being used in accordance with the terms outlined above.I do not agree to these images or recordings being used in accordance with the terms outlined above.

Section 05 - Declaration

British Mountaineering Council Participation Statement

“The British Mountaineering Council recognises that climbing and mountaineering are activities with a danger of personal injury or death. Participants in these activities should be aware of and accept these risks and be responsible for their own actions and involvement.”

I have read this registration form in its entirety and have provided information that I know to be accurate and true. Furthermore, I have read and understand the British Mountaineering Council's participation statement, as printed above, and I am aware of and accept the potential risk posed to myself.