Team Name:

Team Contact:

Address:

Contact No:

Email:

Team Member 1:

Email:

Age:

Gender:

T-Shirt Size:

Medical Conditions:

Team Member 2:

Email:

Age:

Gender:

T-Shirt Size:

Medical Conditions:

Team Member 3:

Email:

Age:

Gender:

T-Shirt Size:

Medical Conditions:

Team Member 4:

Email:

Age:

Gender:

T-Shirt Size:

Medical Conditions:

How many of you have competed in an adventure race before? 0 1 2 3 4

How many of you have competed in the NAM before? 0 1 2 3 4

What is your teams’ average number of previous races? Select 0 1 2 3 4 5 6 7 8 9 10+

How would you rate your teams’ level of fitness? Select Poor Average Good Excellent

I agree I am entering NAM of my own choosing and no liability will be placed on the organizers for any injury sustained or property lost whilst participating in the event. Select Yes No

I confirm that no member of the team have any medical conditions or disabilities which would endanger themselves or others taking part. Select Yes No

How many vegetarians are on your team: Select 0 1 2 3 4