Register now!

You are registering to take in the 6 Peaks Challenge, Friday 1 to Monday 4 July 2011.

Before going any further please read the following information carefully:

• Registration must be completed by the Team Leader



• Each team must consist of between five and eight people including your two drivers. The system will not allow you to add team members at a later date, so please ensure team members are confirmed before you register to take part. (If you do need to add someone to your team later, changes can be made by contacting the 6 Peaks Office.)



• To register, all members of your team must be over 18, fit enough to take part, and the leader must be an experienced mountain walker - for more information on this please check our Event Guidelines, especially 'The team and it's leader' and 'Essentials'



• You will also need to choose which ferry route your team would like to take after the challenge has finished - once the ferry bookings have been made we will let you know the booking reference, so if you wish to make any changes either to route or time you are free to do so yourself



• All contact details, including email addresses, must be valid and accurate for registration to be completed



• The registration fee of £352.50 (£300 + VAT @ 17.5%) per team member (including drivers) is payable online by credit or debit card. Please note that in order for your online payment to be authorised, you must enter your name and address details EXACTLY as they appear on your bank or card statement.



• Payment can be made for the whole team or individually



• You will need to have the following information to hand:
  Team name, all contact details, including full name, address, date of birth, email address, mobile phone number, t-shirt size and mountain experience for EACH member of your team.
  To help you we have defined 'mountain experience' as follows:
  
  0 hills climbed = No experience
  0 - 5 hills climbed = Extremely limited experience
  6 - 15 hills climbed = Limited experience
  16 - 25 hills climbed = Quite experienced
  26 - 49 hills climbed = Experienced
  50+ hills climbed = Very experienced
  
  Please note that by 'hills' we mean peaks that are equal to or higher than the lowest of the 6 Peaks, ie. Snaefell at 2037 feet (620 metres).

The closing date for on-line registration is 31 March 2011.

Please note: All entry fees must be received before a team can be accepted on the Challenge

Registration Details - Team Leader
Team Name *
Title *	-- Please select --MrMrsMsMissDrProfessorReverend
First name *
Middle Name
Surname *
Postcode *
Address line 1 *
Address line 2
City *
County
Country *	-- Please select -- United Kingdom-AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAsia/Pacific RegionAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCote D'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaEuropeFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly See (Vatican City State)HondurasHong KongHungaryIcelandIndiaIndonesiaIran, Islamic Republic ofIraqIrelandIsraelItalyJamaicaJapanJordanKazakstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyan Arab JamahiriyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States ofMoldova, Republic ofMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian Territory, OccupiedPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia IslandsSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwanTajikistanTanzania, United Republic ofThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited StatesUnited States Outlying IslandsUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenYugoslavia
Mobile Phone Number *
Email Address *
Confirm Email Address *
Company *	Anglian WaterB'mouth & West Hants WaterBristol WaterCambridgeshire WaterDwr Cymru/Welsh WaterEnvironment AgencyMWHNorthumbrianScottish WaterSevern TrentSouthern WaterSouth East WaterSouth Staffordshire WaterSouth West WaterSutton & East SurreyUnited UtilitiesWater NIYorkshire WaterThames WaterThree Valleys WaterWaterAidWessex Waterself-employedstudentretiredhomemaker/carerrather not sayother
Number of additional team members (including drivers) *	- Please Select - Four Five Six Seven
Please select your return ferry crossing route after the challenge on Tuesday. If your team is based in Ireland this is the route we will book to bring your drivers/vehicle over on Friday. Please note all team members are to travel on the same ferry.
Which ferry would you be taking? *	Dublin - HolyheadRosslare - FishguardBelfast - Stranraer
How did you find out about 6 Peaks? *	Please select General WaterAid Website Poster Press Previous Event WaterAid Email Word of Mouth Work Other
I confirm that I am an experienced mountain walker and take full responsibility for my team, and that all members of my team are over 18 and fit enough to take part.
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