Join the TLA Challenge on Wednesday 1^st October 2025

To confirm your place on the Private Yorkshire Three Peaks Challenge on the 1^st October 2025, please complete this form at the earliest opportunity.

Your contact information will be used by Three Peaks Challenge Ltd and TLA for the purposes of organising this event only.

Your medical information will be kept in the strictest confidence, and stored securely in accordance with the Data Protection Act & GDPR. Only event staff with a specific requirement to know your responses will be given access. All information provided will be securely deleted after your event.

Your personal details

First name *

Surname *

Company *

Date of birth *

Sex *

FemaleMale

E-mail address *

Confirm your e-mail address *

Phone number

Address *

Address Line 1

Address Line 2

City

Postcode

Country

Your fitness

Rate your fitness out of 10 (10 being excellent) *

What hill walking experience do you have?

What training have you / will you undertake for this challenge?

Your medical details

If you ticked any of the boxes above, please provide further details

Do you have a history of any medical condition not mentioned? Please give details

Please list any medication which you are currently using

Please specify any dietary requirements or food allergies that you have

Your next of kin

Name of next of kin

Relationship to next of kin

Phone number for next of kin

Terms & Participant Statement

Terms & Conditions (new window)

Participation Statement (new window)

Yes, I have read and agree to the Terms & Conditions.

Yes, I have read and agree to the Participation Statement.

I agree to share my name, email, mobile number, company name and dietary requirements with TLA for the purposes of arranging the challenge.

Join the TLA Challenge on Wednesday 1st October 2025

Join the TLA Challenge on Wednesday 1^st October 2025