In order to sign up for your Ultimate Challenge you will need to complete a comprehensive registration.

Sponsorship

Pay the £145 registration fee (non-refundable) and part trip costs of £350, plus estimated £495 airport taxes

Raise £3,000 sponsorship for Halton Haven Hospice

Note – you are just required to pay the online registration fee now

Your Details:
You have now taken the first step towards registering for your challenge. Over the next few pages we will ask you to provide some important information that we need in order to complete your registration on the trip.

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We will usually communicate with you about your trip by email. Please choose here if you would prefer that we communicate by post.
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We will circulate group contact details to all participants on your trip a few months prior to departure. Please choose "No" if you do not wish to share your contact information.

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Passport Information:
NB. It is essential that we have this information and that your passport has 6 months validity from your date of return to the UK. If you do not have your passport information available now, please send your passport details to us within 2 weeks of completing this form.
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Next of Kin Contact Information:
This must be a friend or a relative who is not on the trip with you. The contact information you provide should enable us to contact this person day or night, during the week or the weekends.
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Accommodation & Dietary Requirements:
Accommodation will be twin share. All accommodation will be single sex unless you are registering with your partner or spouse. If you are registering to take part in the trip with a partner, spouse or friend and would like to share accommodation with them, please give their name in the roomshare section below. We try to cater for all common dietary requirements, if we think that your requirements may be difficult where you are travelling we will contact you to discuss them.
Medical Declaration:
We ask all potential participants in our challenges to complete a medical form. Dedicated personnel will look at the forms, and may forward the details to our lead doctor for advice. All information will be treated as strictly confidential. We request medical information from you in an endeavour to minimise risk to all participants, and for that reason we ask that you disclose all your medical history. Our policy is to encourage and support as many people as possible to take part in our challenges we nevertheless reserve the right to reject your application to participate in this event if recommended to do so by our medical advisor. You should take into account that medical and other facilities at your destination are likely to be inferior to those in the UK and that some parts of the route will be away from main cities and hospitals, in remote locations. If you develop any new medical conditions or experience worsening of existing conditions after returning this form, you must inform us at The Ultimate Travel Company.
 
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Do you have a history of any of the following conditions? Please answer YES or NO to each one. If you answer YES you can give further information in the "Other Medical Conditions" box at the bottom of this form:
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This is required information. (If none, state 'none')
This information is required. (If none, state 'none').
Please note that if you have answered yes to any questions on this medical declaration or are taking part in a high altitude trip, we will send you a medical form asking for further information. This form must be signed by your doctor and returned to us as soon as possible.
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Thank you.
Thank you for completing this form. Should any of the details you have provided change, please contact the Events Team at The Ultimate Travel Company as soon as possible as this may effect your travel. Please read & accept the Terms and Conditions below then click the Pay Registration Fee button to complete your application.
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Please confirm that you have read our Terms & Conditions and choose 'Yes' below to accept them.*

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Please confirm that you have read our Conditions of Entry and choose 'Yes' below to accept them.*

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