Join us in Chamonix for a ski experience like no other!

Transcription

1 MS Trust Monster Ski 2014 Join us in Chamonix for a ski experience like no other! Thank you for your interest in Monster Ski, the MS Trust s ski & snowboard challenge, which will take place in Chamonix, France from 16 to 20 March The aim of the challenge is to ski the height of Mount Everest every day, that s 90,000 vertical feet over 3 days, and to raise funds towards the work of the MS Trust. If you are an experienced skier or snowboarder and confident on a red run, this challenge is for you! By taking part in this exciting event you will be raising valuable funds to support people affected by multiple sclerosis (MS). MS is an unpredictable disease of the central nervous system, usually diagnosed when people are in their 20s and 30s. The money you raise will be funding the work of the MS Trust and helping people with MS to live their lives to the full. The MS Trust s work is focused on two main areas: Providing the health information people need to manage life with MS Working to ensure services for people with MS are of a high standard across the UK How to book your place 1. Please read the enclosed information carefully, including the registration & booking conditions. If you have any questions or concerns, please contact me (details below). 2. Complete the registration form and medical form (ensuring this has been signed by your GP if necessary) and return them to us, along with your non-refundable 150 registration fee. 3. We will review your application and, once accepted, will send you a comprehensive fundraising pack and sponsor forms, so you can get started with your fundraising straight away. In the unlikely event that your application is not accepted, your registration fee will be returned to you. We are still looking for more participants so if you have any friends who might be interested in Monster Ski, please do ask them to contact us for more information. I look forward to welcoming you on to the 2014 Monster Ski team! Kind regards Laura Percival, Fundraising Officer Tel: laura.percival@mstrust.org.uk Multiple Sclerosis Trust, Spirella Building, Bridge Road, Letchworth Garden City, Herts. SG6 4ET Tel: fundraising@mstrust.org.uk Registered Charity No

2 WELCOME TO MONSTER SKI

3 MONSTER SKI Q&A

4

5 ITINERARY

6 RAISING YOUR SPONSORSHIP

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10 MS Trust Monster Ski 2014 REGISTRATION FORM Non-refundable Registration Fee payable now 150 Minimum Sponsorship 1,500 Personal Details: Title as on passport (Mr/Mrs/Ms/Miss/other):... Gender: Male / Female (please circle) Forename(s) as on passport:... Surname as on passport:... Name you prefer to be addressed by:... Address: Postcode:... Tel day:... Tel home:... Tel mobile:... Date of Birth:... Address:... Ski and board ability: Please be truthful about your ability, don t exaggerate or be too modest. An accurate level is needed to make the groups work. 1. Please circle your level below: 1 First time skier or boarder 2 Second week skier or boarder 3 A few weeks experience, happy on greens and blues 4 Very happy on blues, starting to tackle reds 5 OK on reds but struggle on blacks 6 Can get down blacks but struggle on bumps and off-piste 7 Happy on most groomed blacks and easy bumps, but struggle on steep bumps and uneasy off-piste 8 Can manage all but the steepest bumps and off-piste in style except in difficult conditions or deep snow 9 Can ski/board everywhere in all conditions 10 Instructor or racer 2. Are you a skier or a snowboarder? Skier / Snowboarder (please circle) 3. Approximately, how many years have you skied? How regularly do you ski? How long do you usually ski annually? When did you last ski?... Do you know anyone else who would be interested in hearing about Monster Ski? Yes (please detail below) / No Title & Full Name:... Address:......Postcode:...

11 Passport Details: Note: It is essential that you have a passport that is valid for 6 months from date of entry into the country Place of Birth:... Nationality:... Country of Issue:... Country of Residence:... Passport Number:... Date of Expiry:... Next of Kin: Name:... Relationship:... Address: Postcode:... Tel (daytime):... Tel (evening):... Optional extras from the tour operator: Please indicate if you will require any of the following... Single room supplement: 150 per person for 4 nights Domestic flights to/from Heathrow (prices on request) Ski rental equipment (prices on request) Trip extension (prices on request) Travel Insurance (available through MPI Brokers) Yes / No / Maybe Yes / No / Maybe Yes / No / Maybe Yes / No / Maybe Yes / No / Maybe Housekeeping: What T-Shirt size do you wear? (please tick) S M L XL Please indicate any specific dietary requirements: Vegan Vegetarian Other... Unless you pay a single supplement (see optional extras), you will be sharing a room. Is there anyone on the event that you wish to share a room with? (please specify) To be completed by all registrants: Will your employers sponsor you or match your fundraising total? Are you happy to share your address with other Monster Ski participants? Would you like to receive alerts from the MS Trust? Would you like to receive Open Door, the free quarterly newsletter from the MS Trust? Yes / No / Maybe Yes / No Yes / No Yes / No How did you hear about Monster Ski?... What made you decide to take part in this event? Any special requirements or anything else you would like to add?

12 Registrant s pledge: I enclose my completed medical form and my non-refundable registration fee of 150 (please make cheques payable to Multiple Sclerosis Trust or complete the credit card payment section below). I confirm that I pledge to raise and pass on by 17 April 2014 not less than 1,500 (net of Gift Aid) for the benefit of the Multiple Sclerosis Trust, as part of my participation in the Monster Ski event in I understand that to be eligible to take part in the event I must pay the initial sum of 850 (net of Gift Aid) to the charity by Monday 6 January I have read the registration conditions attached and agree to be bound by their terms: Signed:... Date:... Print Name:... By signing this agreement you also agree that the MS Trust may publish or broadcast photographs or video of you participating in Monster Ski for the purpose of publicising the event and the work of the charity generally. Please now complete your payment details below. Payment details: Please tick one box below to indicate preferred payment method (completing additional details for credit card payment) I enclose a cheque for my registration fee of 150 made payable to Multiple Sclerosis Trust or I would like to pay my 150 registration fee by credit/debit card (please complete details below in full or call ) Card details: VISA debit VISA credit MasterCard Maestro/Switch Card number (long number on front):... Security code (last 3 digits on signature strip):... Expiry date:... Valid from date:... Issue number (if shown):... Issuing bank:... Signed:... Date:... Please return this completed registration form, together with your non-refundable registration fee and medical form to the address below. If you have any queries, please contact us. Multiple Sclerosis Trust, Spirella Building, Bridge Road, Letchworth Garden City, Hertfordshire, SG6 4ET Tel: Fax: info@mstrust.org.uk Web: Registered Charity no: Data Protection The MS Trust will use your details: To keep you informed about our work, including our fundraising To pass to our wholly owned subsidiary companies MS Trust (Education) Ltd and MS Trust (Trading) Ltd which exist only to carry out our educational objectives and to raise funds for the MS Trust. We will not sell or pass your details to anyone else (unless we are required to by law). If you object to either use of your details, please let us know

13 MS Trust Monster Ski Registration Conditions 1. This agreement is between Multiple Sclerosis Trust ( we/us/our/the charity ) and you and relates to your proposed participation in the Monster Ski 2014 challenge event ( the event ). 2. This agreement will come into force when we have accepted your registration to take part in the event. We will notify you of your registration by sending you a receipt for your registration fee. No contract between us and you will exist until we have issued such receipt. 3. We reserve the right not to accept your application for registration, in which case we will return your registration fee. 4. The purpose of this agreement is: 4.1 to enable you to take part in the event so that you can use your participation in it to raise money for us; and 4.2 to set out your obligations in relation to the event and our obligations to you in relation to it. 5. The event is not organised by us. It is organised by Osprey Holidays Limited trading as Ski Independence of 5 Thistle Street, Edinburgh EH2 1DF ( the tour operator ) and once your tour costs have been paid the tour operator will be fully responsible to you for provision of all travel, accommodation and other tour services in accordance with the information set out in the brochure for the event. 6. If you are selected to take part in the event (in accordance with clauses 7, 8 and 9 below) you will have a direct contract with the tour operator for the provision of its services and that contract shall be in the form of the tour operator s booking conditions set out in the brochure for the event. 7. To be eligible for the event you must: 7.1 complete and sign the registration form and return it to us with a registration fee of 150; and 7.2 be over 18 at the departure date or be accompanied by an adult over the age of 18; and 7.3 raise for the charity the initial sum of 850 to be received by the charity by 06 January 2014 ( the due date ). And 7.4 pledge to raise a total amount of 1,500 by 17 April If paying by cheque please make it payable to Multiple Sclerosis Trust. 8 You will only be entitled to take part in the event if: 8.1 we receive from you the initial sum and a further pledge to raise the total amount specified above by the due date; 8.2 you have provided us with a satisfactory reply to a medical questionnaire indicating that you are sufficiently fit and healthy to take part in the event without serious risk to your health and safety or the health and safety of others; 8.3 you have provided us with a satisfactory reply to a ski level questionnaire provided by the tour operator; 8.4 we (acting reasonably) are satisfied that your participation in the event is not likely to have a detrimental effect on the morale of the participants as a whole so as to make it likely that other participants will fail to complete the event; 8.5 you have taken out travel insurance provided by the tour operator s recommended broker or have provided us with a letter from your insurers in such form as we may reasonably require confirming that your travel insurance is suitable for the event; and 8.6 we have confirmed that the event will take place by paying to the tour operator the costs of your participation in the event. We will only confirm this 7 weeks before the departure date for the event. 9. As soon as you become eligible to take part in the event, the costs of your participation which we have paid to the tour operator will be protected by the tour operator s ATOL bond or ATOL Protection Contribution arranged with the Civil Aviation Authority. At this point your contract with the tour operator will come into force and you agree to abide by the tour operator s booking conditions. 10. The cost of your participation in the event does include airport taxes. 11. If you choose to make personal arrangements with the tour operator for provision of services not arranged between us and the tour operator, you will pay to the tour operator the costs of those services. 12. The conditions for carriage by air of all airlines used will apply in respect of all air travel as if incorporated in this agreement. 13. You agree that you will raise the minimum sum and pledge to raise the total amount specified on the registration form for the event and you will use all reasonable endeavours to collect and send all sponsorship pledged, to the charity within 4 weeks after the end of the event. 14. You agree that in carrying out all fundraising for the benefit of the charity you will comply with the following requirements: 14.1 you will abide by any fundraising guidelines issued by us from time to time; 14.2 you will only use lawful means to fundraise and must not do anything which harms or is likely to harm the charity s reputation; 14.3 you agree to comply with the following financial procedures: to send to us any money you collect within 21 days of you receiving it; to use (and return to us) the sponsorship form provided to you for the purposes of the event and to encourage sponsors to complete it in full so that the charity can recover gift aid when asking for money from potential sponsors you will make it clear that the tour costs will be paid out of the money you raise. These costs are stated in the brochure when asking for money from potential sponsors, you will make it clear that their sponsorship is for the charity and will not be refundable even if the event does not take place or you do not take part in it or you do not complete it; and 14.6 you agree only to use fundraising materials for the purposes of this event that are either supplied by us or follow our guidelines. All fundraising materials must include our registered charity number, our contact details and we must give permission before you can use our logo. 15. We will use all reasonable endeavours to ensure that the event takes place so far as reasonably possible in accordance with the information provided in the brochure. However, bearing in mind the purpose of the event and the eligibility criteria, we may make such alterations to the arrangements as we may reasonably require, including, for example, changes to the anticipated departure date and return date by up to two days either side of those dates, changes to the itinerary and changes to the proposed accommodation. 16. We reserve the right to cancel the event at any time before the departure date and in particular to cancel if fewer than 10 participants become eligible to take part. 17. In certain circumstances the cancellation of the event or changes in the itinerary or other arrangements could give you rights to compensation and/or refunds under the Package Travel, Package Holidays and Package Tours Regulations 1992 (as amended). Bearing in mind the purpose of the event and that the source of funds for your participation is charity donations, you hereby irrevocably assign to the charity all rights you may now or in the future have to receive such compensation and/or refunds in relation to the event. 18. You may in certain circumstances have a right to make a claim to the Civil Aviation Authority for a refund in relation to travel and accommodation costs and other services to be provided by the tour operator. For the same reasons set out in clause 17 you hereby irrevocably assign to the charity all such rights as you may now or in the future have to any such refunds in relation to the event. 19. If you choose not to participate in the event or if the event is cancelled or if you do not become eligible to take part in the event or if we prevent you from doing so, all sums collected or pledged will still be payable to the charity. However, we will refund the registration fee if we cancel the event or we or the tour operator prevent you from taking part. The registration fee is not refundable in any other circumstances. 20 The tour operator will be liable to you for the provision of the tour services. The charity is not responsible for the running of the event. 21. This agreement constitutes the entire agreement and understanding between us and you relating to the event and supersedes all other prior representations, agreements, or arrangements whether written or oral, express or implied relating to the event. It may only be amended in writing signed by you and us. 22. This agreement is governed by English law and you and we submit to the exclusive jurisdiction of the English courts. 23. By completing and signing the application form to take part in the event, you agree to be bound by these conditions and by the tour operator s terms and conditions.

14 MS Trust Monster Ski 2014 MEDICAL FORM Please read the notes below carefully, before you fill in this medical form. The event in which you are participating is challenging and will require a good level of fitness, strength and endurance. With this in mind, you are required to complete and return this medical form. Your details will be passed to the tour operator and may be forwarded to an approved medical officer. All information will be treated as strictly confidential. We want all participants to enjoy MS Trust Monster Ski and our policy is to support as many people as possible to take part. Nevertheless, based on the information on this form, the tour operator reserves the right to refer you to a specialist for further opinion, contact you or your GP and/or reject your application to participate in MS Trust Monster Ski. It is essential that you provide accurate, comprehensive and truthful information. You must fully disclose your medical history. The MS Trust and/or the tour operator cannot accept any responsibility whatsoever in the event you do not fully disclose all relevant details. Please note, if you develop any new medical conditions, or experience worsening of existing conditions after returning this form, you must inform the MS Trust. You should take into account that medical and other facilities at the destination may be inferior to those in the UK and that some parts of our route will be away from main cities and hospitals, in remote locations. All the guides are first-aid trained and experienced in dealing with ski injuries. They will be able to provide treatment for minor injuries, and first aid support in the event of a more serious injury or medical problem. Should you require more medical attention than can safely be provided on site, the guides and staff team will arrange appropriate evacuation and transfer to the nearest, most appropriate, hospital or medical centre. If you will be over 60 years of age by the date of departure, or have any pre-existing medical condition detailed below, your GP must also read the notes and explanation and sign this form confirming you are sufficiently fit and healthy to participate. If you or your GP have any queries, please contact the MS Trust or the tour operator. Please complete in BLOCK capitals: Full Name... Age... Height... Weight... Do you have a history of any of the following conditions? If so, please give details indicating frequency, severity and aggravating factors where necessary, and any treatment you are taking (use extra pages if necessary.) 1. Raised blood pressure Yes/No 2. Heart or circulatory failure Yes/No 3. Blood clots, in particular DVT (if so please give dates and details) Yes/No 4. Chest or lung disease Yes/No 5. Asthma (if so please state severity and if ever hospitalised) Yes/No 6. Neurological conditions (e.g. epilepsy, multiple sclerosis etc.) Yes/No PTO

15 7. Diabetes Yes/No 8. Digestive or bowel disorders Yes/No 9. Past injuries (e.g. fractures, sprains) Yes/No 10. Haematological or blood disorders Yes/No 11. Cerebral disease (e.g. stroke, head injuries etc) Yes/No 12. Metabolic or endocrinological disorders Yes/No 13. Surgical operations Yes/No 14. History of mental health problems Yes/No 15. Allergies (dietary, drug, environmental) Yes/No 16. Please list any medication you are currently taking 17. If you have any other medical condition not disclosed above, please give details here: NB. Excessive exercise and conditions on the trip can aggravate dental problems. You must ensure you have a recent dental check (within six months) before the trip departs. I certify that I have read and understood this medical form, and the attached notes and explanation. The information I have given is correct. In the event of illness or an accident on the trip, I hereby give permission for the tour operator first-aid trained staff to initiate medical treatment and notify my next of kin in case of hospitalisation: Signed... Date... IMPORTANT INFORMATION: If you are aged over 60 by the date of departure or have answered yes to any question on this medical form, your GP must also sign below. FOR YOUR GP: I have read this medical form, including all the notes and explanation. The information given is correct. I confirm the person named overleaf is physically and mentally fit enough to undertake the MS Trust Monster Ski challenge: GP Signed... Date... GP Practice Stamp: Please return this completed medical form to the address below. Multiple Sclerosis Trust, Spirella Building, Bridge Road, Letchworth Garden City, Hertfordshire, SG6 4ET Tel: fundraising@mstrust.org.uk Registered Charity no: