Baby Bummit to Bristol 2018 Registration
Please ensure you have read the Terms and Conditions and FAQs before submitting your registration.
https://bummit.union.shef.ac.uk/?page_id=623

Please also download the Fundraising Pack, which will help you with all fundraising needs and help you reach the £80 target.

PLEASE DON'T COMPLETE THIS FORM UNTIL YOU HAVE BOUGHT A TICKET!

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IMPORTANT: Many of these questions are asked for insurance purposes. These questions include, but are not necessarily limited to, those relating to membership of the University of Sheffield Union of Students, UK, residency and medical conditions. You are responsible for providing correct information on this form, and this form must be completed by the participant. Providing incomplete or incorrect information, or completion of the form by anyone other than the participant, may render insurance policies null and void. Neither the Bummit committee nor the University of Sheffield Union of Students will be liable for damages in this case.

First Name *
Your answer
Last Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Gender *
University Email *
Your answer
Mobile Number *
Your answer
Current Year *
U Card Number *
Your answer
Registration Number *
Your answer
Current Student *
Nationality *
Your answer
Landline Number
Your answer
Term Address - 1st Line *
Your answer
Term City *
Term Postcode *
Your answer
Term Country *
Home Address - 1st Line *
Your answer
Home City *
Your answer
Home County
Your answer
Home Postcode *
Your answer
Home Country *
Your answer
Dietary Requirements *
Required
How did you hear about us?
T-shirt size *
Next of Kin Name *
Your answer
Next of Kin Relationship *
Your answer
Next of Kin Home Number *
Your answer
Next of Kin Mobile Number *
Your answer
Housemate Name *
Your answer
Housemate Mobile Number *
Your answer
GP Name *
GP Address *
GP City *
GP Postcode *
GP Contact Number *
Are you permanently a resident in the United Kingdom and registered with a Medical Practitioner in the United Kingdom, whose address is given in the 'GP Details' section above? *
If you answered 'No', please explain your situation below
Your answer
Do you have any medical condition that you think we should know about, or which may exclude you from obtaining travel insurance under our travel insurance policy? *
If you answered 'Yes' or 'Don't know', please explain your situation below
Your answer
If you already have a team in mind, please write down your team mates full names below, If you don't have a team yet, don't worry, please leave blank!
Your answer
I am aware that hitch-hiking contains an element of risk and that my personal safety whilst on the trip is my own responsibility. I agree to take the upmost care in ensuring my own safety and wellbeing whilst taking part in Bummit. I acknowledge that the liability of the Bummit Committee and the University of Sheffield Union of Students is limited solely to the event. *
Required
I declare that I am submitting this application for myself and that the information provided relates to me. I also confirm that the information provided on this form is to the best of my knowledge complete and correct, and that I will inform the Bummit Committee about any changes in my personal circumstances which may impact upon insurance policies or my participation in the event in general. *
Required
I have read and accept the Bummit Terms and Conditions https://bummit.union.shef.ac.uk/?page_id=623 *
Required
I acknowledge that I am fundraising via the website Virgin Money Giving and not any other alternative fundraising website. *
Required
Do you think you're likely to do Big Bummit in Easter? *
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