Rainbow Assault 2019 Registration
Join Team CLIC Sargent and take on the Dundee Rainbow Assault challenge in support of children and young people with cancer, and their families. Test your strength and endurance through a 5K muddy assault course while being under the attack of rainbow colour bombs and water pistols. This challenge combines the best parts of the Tough Mudder and Holi Festival of Colour events. Please note that children 12 and under must be accompanied by an adult.

In addition to this there is a 1k kids course suitable for children aged 3 - 8 years which still has lots of mud and colour. Please note that each child must be accompanied by an adult for this course.

We would ask that all participants aim to raise a minimum of £50 sponsorship which will go to help CLIC Sargent and their fight for Young Lives Against Cancer.

By signing up for this event you are agreeing that CLIC Sargent and Scottish Assault Courses may contact you regarding the event.

Event Timing: Sunday 1st September 2019 12-4pm
Event Address: Scottish Assault Course Dundee, Muirhouses Farm, Errol PH2 7TB
Contact us at: Donna.Bednarek@CLICSargent.org.uk 07889 119147

Please complete all parts of the registration form. Payments must be made via PayPal to secure your place, please include your full name as the payment reference.
First Name *
Your answer
Last Name *
Your answer
Email *
Your answer
Address Line 1 *
Your answer
Address Line 2
Your answer
Town *
Your answer
Post Code *
Your answer
Date of Birth (entrants must be over 3, children under 12 must be accompanied by an adult throughout the course) *
Entry Type *
Please note every entrant MUST fill out a registration form to take part in the event. (for teams of 5 each member must be registered on a separate form but only one payment of £100 is due per full team)
Team Name (If Applicable)
Your answer
T Shirt Size *
All participants will be sent a CLIC Sargent t shirt to wear on the course. Please select your preferred size below:
Emergency Contact Name *
Please provide details of someone we can contact in case of an emergency on the day of the event.
Your answer
Emergency Contact Telephone *
Your answer
Emergency Contact Relationship to You *
Your answer
CLIC Sargent Would Like To Stay In Touch With You
Without you, we can’t fight tirelessly for young lives against cancer. We want to let you know about the difference you make to young cancer patients and their families, and other opportunities you have to get involved with fundraising, volunteering and our campaigns. If you are happy to receive this information, please let us know how you would prefer to hear from us.
Email *
Text *
Phone *
Post *
Your details are safe with us.
For more information about how CLIC Sargent uses your information, please read our privacy policy. You can update your preferences at any time by calling us on 0300 330 0803, emailing supporter.services@clicsargent.org.uk or by visiting the keeping in touch page on our website CLICSargent.org.uk
I understand that by signing up to Rainbow Assault I agree to pay my registration fee via PayPal. I agree to Scottish Assault Course Dundee's Disclaimer* and agree to aim to raise a minimum £50 sponsorship for CLIC Sargent. *
*2019 Disclaimer Acknowledgement: I agree that I will carry out the Assault Course in accordance with the specific safety instruction that I have received before undertaking the Assault course. I agree to wear any safety equipment provided by the Company in accordance with the safety instructions and shall ensure my safety at all times. I understand that the Assault Course requires a moderate level of fitness and is physically testing. I accept that there is a risk of injury when undertaking such activities. I acknowledge that I am responsible for my own safety (and the safety of my possessions) when carrying out the Assault Course. I understand that the Assault Course will be undertaken without direct supervision following the safety instruction. I therefore agree at all times to ensure that I wear all protective equipment provided by the Company and to ensure that all safety instruction is carried out. In the unlikely event of an accident, or loss or damage to my personal effects, I acknowledge that the Company will not be liable for any direct or indirect loss, damage or injury arising from or in connection with the Assault Course (except in instances of death or personal injury caused by the Company’s negligence) and I waive all and any claims against the Company in this respect. I confirm that I do not know of any medical condition that I suffer from which might have the effect of making it more likely that I be involved in an incident which could result in injury to myself or others. I acknowledge that I have been provided with the necessary safety instruction provided by the Company in relation to the Assault Course. I acknowledge and confirm that I have been told and understood that the Company may take photographs throughout my visit and have my consent to use them for promotion and I have read and understand the Disclaimer and I accept the terms contained therein. I wish to participate in the Assault course organised by Scottish Assault Courses (“the Company”) on all that I attend starting from today's date. This waiver will be kept on file by Scottish Assault Courses (Dundee) Limited in accordance with the statutory requirements as stated within the Laws of Scotland.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service