Firewalk Registration

Firewalk Registration Form

During the course of the fire walking event, participants will first be guided the through the event. The participants will also be given safety instruction on how to walk across hot coals with bare feet, as well as before and after instructions. Participants must attend the full seminar and adhere to all safety instructions or they will not be allowed to fire walk and a mandatory disclaimer must be signed before the seminar begins

Contact Form

*(denotes required field)

Name: *

E-Mail Address: *

E-Mail Address again: *

Please enter your E-mail Address a second time.

Telephone Number *

Mobile Number *

Address *

Date Of Birth *

Please tick the below to agree that you are able to:

Pay the full amount (please tick) *

You can request a sponsorship pack. (please tick) *

I agree to pay £125.00 minimum on the day of the event *

(cheque, post-dated cheque or cash). (please tick)

I am over the Age of 18 years old. (please tick) *

Sign the mandatory disclaimer before participating. (please tick) *

Disclaimer

FIRE WALKING, as with any activity connected with fire, carries an inherent risk. Nothing written here is intended as an encouragement to participate in any activity without the direct supervision of a certified FireWalk instructor. You should not attempt any activity described without proper training and supervision. Should you choose to undertake activities of this nature you do so entirely at your own risk.

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