Mud and Guts Registration

To register for the event, each Individual or Team must submit a registration form then pay the requisite entry fee.

If you are entering a team the team Captain needs to complete the below form on behalf of team members including individual names and and any medical conditions in the appropriate box. There is no need for every team member to complete a form - the team Captain agrees to the Terms and Conditions on behalf of each member.

Registration Form

Register online or  Registration 2017 Click and mail to Mountain Valley Mud and Guts Challenge, 408 McVicar Road, RD2, Napier 4182.

First Name:
Last Name:
Email:
Date Of Birth:
Sex:
Address:
Town/City:
Phone:
Parent/Guardian (if under 15 years):
Parent/Guardian phone:
Emergency Contact Name:
Emergency Contact Phone:
Entry Category *:
Team Name (if applicable):
Team Member Names (if applicable):
Payment type *:
Any medical conditions:
Comments:
Tick to accept the conditions below ' entry invalid if not ticked *: Agree
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Image Verification Code: Please note there are no spaces between the characters.

You will be re-directed to the Mud and Guts Payment Page once you submit your registration.

TERMS AND CONDITIONS

WAIVER AND RELEASE STATEMENT

I agree to comply with the rules of the Mud and Guts event. I also agree to read and listen to the race briefing provided on the day of the race. I intend competing at my own risk, or agree for my 13 – 16 year old to participate at their own risk. I consider that I, or my dependant is capable of participating in this event. I waive all claims and liability against the organisers, promoters, Mountain Valley Adventure Lodge owners, staff, support personnel and sponsors from all claims for injuries and or damage however caused (whether fatal or otherwise) I may suffer out of participation in this event.  I also release and forever discharge the above groups from all actions, suits, proceedings, claims, demands, losses, damages, penalties and fines however rising (including negligence).  I agree that any information supplied or photographs/videos taken may be used by Mountain Valley Adventure Lodge, organisers or sponsors, for legitimate and reasonable purposes. I consent to the organisers collecting the information above for the purposes of event administration. I consent to the information being given to sponsors for purposes of sending me information regarding their products or businesses. I consent to the organisers emailing me event information for any future fitness challenges they organise. This consent is given in accordance with the Privacy Act 1993.