Big Bummit to Split 2018 Registration
Please ensure you have read the Terms and Conditions and FAQs before submitting your registration.
www.bummit.co.uk/tandc.html

Please also download the Fundraising Pack, which will help you with all fundraising needs and help you reach the £250 target.

PLEASE DON'T COMPLETE THIS FORM UNTIL YOU HAVE BOUGHT A TICKET! You will need your Passport to register.

Government travel advice for Croatia: https://www.gov.uk/foreign-travel-advice/croatia
Information on VISA: http://www.bummit.co.uk/visa.html

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.

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Do you require a VISA to travel to Croatia? *
Do you require a VISA to travel in the Schengen area? *
Ticket Number *
Your answer
First Name *
Your answer
Last Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Sex *
University Email *
Your answer
Mobile Number *
Your answer
Current Year *
Ucard Number *
Your answer
Registration Number *
Your answer
Are you a current student? *
Nationality *
Your answer
Passport Number *
Your answer
Passport Issue Date *
MM
/
DD
/
YYYY
Passport Expiry Date *
MM
/
DD
/
YYYY
Landline Number
Your answer
Term Address - First Line *
Your answer
Term City *
Term County *
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? *
Required
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
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 if I am eligible for an EHIC Card, I will apply for one in good time and carry it with me on the event, or contact and make appropriate arrangements with the Bummit Committee as required. *
Required
I am aware that my ticket price will not refunded, and if I withdraw after the 21st February, neither will my sponsorship deposit. *
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 declare that I have read and accept the Bummit Terms and Conditions. *
Required
I acknowledge that any online fundraising for Bummit has to be done using Virgin Money Giving as instructed on the fundraising pack and not any other alternative fundraising website. *
Required
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