Please read the following before clicking "agree to terms".
Please read the following before submitting this form.
For a guaranteed place in Tough Mudder 2018 we require a holding donation of £25(inc VAT).
- I commit to raising the minimum of £300 for Retina UK presenting 80% (£240) by the date of the event and the remaining eight weeks after the event.
- Any outstanding target must be met by you (the Mudder). An invoice will be sent by Retina UK for the outstanding balance one week after the deadline has been reached.
- You must be 18 before the date of your Mudder.
- All Mudders take part at their own risk and must ensure they have adequate insurance.
- I consent to Retina UK contacting me via telephone, letter or email for any matter relating to my fundraising and my participation in the event.
- I give permission to Retina UK to use any photographs/videos taken of me to raise awareness and/or money for its work and/or events.
- I have enclosed my £25 holding donation and I have read and agree the above conditions.
Medical history and fitness confirmation
Tough Mudder is a strenuous activity and the decision to take part should not be taken lightly. You should seek professional advice about your fitness and training requirements.
If you are over 60 years of age or if you have any medical conditions that could be adversely affected by exercise, particularly a heart condition, or if you are in any doubt about your health, you must obtain a medical certificate from your doctor.
Please confirm that to the best of your knowledge your general state of health and fitness is good and you take full responsibility for yourself.