Harlow Tye Rotary Abseil application form 2024
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Please read terms and conditions

Harlow Tye Rotary Club wishes you to be aware that mobile telephony masts are present and will be operating on the tower during the event. We have been assured that there is no risk to the health or safety of participants by the presence or proximity of this equipment.
Conditions and event instructions: By entering the event you agree to abide by ALL the Terms and Conditions of Entry, and will follow any instructions given to you either by the organizers and or officials of the Harlow Tye Rotary Club Abseil for Charity, or by the officials of the Dukes Barn Outdoor Adventure Organisation.
Registration fee: Whether you decide to raise funds for the Rotary Club of Harlow Tye Trust fund, oran organization of your own choice, the individual registration fee of £35  and is payable inadvance.
Once your entry has been accepted, your registration fee is non-refundable.
Age: You must be 16 years of age or over on the day that you take part in the event.
There is no maximum age. (See also Medical Condition and Wheelchair entrants, below).
Beneficiaries: Must be a registered or unregistered charity, or voluntary organisation. It must not be you or an individual. In taking part,you agree to bring your completed sponsorship form(s) and monies with you to the registration desk for forwarding in full to your beneficiary. Alternatively, you may collect sponsorship by using an online site(e.g. justgiving.com) and enter your online access details on your sponsorship form when registering, for auditing purposes after the event

Disclaimer: You will be required to sign a general disclaimer on the day in order to take part in the event. This will not preclude your right to take action in the event of proven negligence on the part of our officers, contractors or agents, nor restrict liability for actions by them, that are not lawfully permitted.
Participants under 18 years old must get a parent, guardian or career to sign the disclaimer form on the day at the event..
Medical condition: You are strongly advised to consult your doctor prior to taking part, if you have any medical condition which may put you at risk e.g. heart problems.
Wheelchair or other disabled entrants: If you cannot climb the central stairs and ladder inside the Water Tower due to a disability, your entry may still be accepted if you are willing to be winched up the outside of the Tower. Due to time constraints, the number of such entries available is extremely limited.
You must advise us of the nature of any disability when sending your registration form, as we may need to confer with our professional contractor before accepting the entry.
GDPR: Officials of Harlow Tye Rotary Club will process and hold your personal data solely for the purposes of managing your entry and participation in the Abseil, and will do so in accordance with GDPR requirements.
You may unsubscribe at any time by e-mailing abseil@harlowtyerotary.org.uk.
Use of data and image: By entering the event you give permission for the free use of your name,
voice and/or picture in any broadcast, telecast, advertising, promotion or other account of the event,organised by the Rotary Club of Harlow Tye.
Event cancellation: If the event is delayed or cancelled due to any situation beyond our control,
e.g. adverse weather conditions, we will try to arrange for the event to take place at a later date.
No registration fees are refundable, under any circumstances.

I agree that you may pass my name and address(only) to my nominated charity(if you have named one).


Payment of £35.00 will confirm your registration


Please make payment by bank transfer to

     Account name            Rotary Club of Harlow Tye General fund

      Sort code                    20-36-98

      Account                      40546860

and  use reference "reference number +your name"(this is the time slot and number you select)


If you prefer a different payment method then please email;  treasurer@harlowtyerotary.org.uk


terms and conditions         *
Forename *
Surname *
Address 1 *
Address 2
Town *
Postcode *
Day phone number *
Evening phone number *
Charity you are raising funds for or you can raise funds for "Harlow Tye Trust Fund" *
charity number if known
What day would you like *
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