NORTH WEST HOSPITAL CHALLENGE

Transcription

1 CLOSING DATE 14th MAY 2013 Partnering for Talent NORTH WEST HOSPITAL CHALLENGE Saturday 8th June 2013 At the Aintree University Hospital This is your chance to compete in a fun-packed day of physical and mental challenges against other hospital and university teams from all over the North West. Anybody can put a team together to represent your ward, department, hospital or university. You ll need plenty of cunning, brain-power and some basic physical fitness, a sense of humour is essential. This is your chance to bring home the prized North West trophy. Members of the winning team will each receive a glass engraved trophy. There will also be large individual glass engraved trophies awarded to teams for; Team Spirit Courage and Determination Sheer Enthusiasm All participants will receive a validated Leadership CPD Certificate and commemorative embroidered T Shirt. 208HOSP-ROSO@mod.uk or Call The Walton Centre NHS Foundation Trust

2 WHAT S ON? A fun packed day of challenges. A bit like the Cube, Takeshi s Castle, and for those of you who can remember, It s a Knockout, but ARMY style... Sponsored and hosted by your North West Territorial Army Field Hospital, Aintree University Hospital and the Walton Centre NHS Foundation Trust. You need to be medically fit to participate, but the competition doesn t just reward the fittest or youngest people. To book your place fill in the form attached and send it with a team cheque for 50 to; Hospital Challenge 208 Field Hospital (V) RHQ Sarum Road Liverpool L25 2XP Entries close at mid-day 14th May Places are allocated on a first come first served basis, places are limited to 40 teams only, so get your applications in as soon as you can. For Assistance Call HOSP-ROSO@mod.uk Partnering for Talent

3 YOUR TEAM of 5 Young or older, there s something for everybody. The average age of the last regional winning team was 45 yrs old. You ll need five team members and a spare person in reserve in case somebody drops out at the last minute. You ll need to be medically fit enough to undertake moderate exercise, you can do as many or as few tasks as you want. HOSPITAL CHALLENGE is a unique opportunity for individuals to bond and develop as a team while acting as ambassadors for your department and demonstrating to everybody just how good a team you really are. Clothing and Equipment What to bring with you. The list below is suggested for your own comfort and or safety. Pack light Robust footwear that protects against ankle injury while walking over rough ground, jumping or climbing is advised. Loose fitting clothing or tracksuit suitable for climbing, stretching and bending. Walking type socks. Water proof clothing should the weather become inclement. A small day-sack / rucksack style sports bag. Pen or pencil and note pad per team. Fee. We request a small donation of 10 per head toward the event costs, which include Prizes, the BBQ and T Shirts. Details of how to pay and who to make cheques payable to are included on the application form. REMEMBER This event is not designed to reward the fittest and the youngest teams. You ll need plenty of cunning, brain-power and some basic physical fitness, good communication skills and a sense of humour is essential.

4 NORTH WEST HOSPITAL CHALLENGE 8th June 2013 Registration hrs Briefing hrs Day Event Timings hrs Registration will take place at the Staff Restaurant Aintree University Hospital. Welcome address and briefing to all competitors including Health and Safety brief. All competitors must be at their start locations by 1030 hrs. A packed lunch and drinks will be provided on-the-go. The final event will take place at the main arena ay the front of Aintree University Hospital at 1700 hrs, where soft drinks and a BBQ will also be served while the results are being finalised. Prize Giving 1800 hrs Dispersal 1830 hrs Venue Aintree University Hospital NHS Foundation Trust Lower Lane Liverpool L9 7AL

5 APPLICATION FORM 1. This form must be copied, completed and signed by all team members attending the event. The team captain should collate and return all signed forms to your Trust Communications Officer before 14th May 2013 with a cheque for 10 per team member made out to Central Bank 208 Field Hospital. The entry fee covers all sundry expenses. 2. The team captain will be our main point of contact. 3. Personal Details for each team member TEAM NAME TEAM LEADERS NAME CLOTHING SIZE ADULT SMALL Medium Large XL Sex Male Female Surname Forename Age NHS Trust Department Your Position Mobile tel; address Do you agree to photographs/ filming taken of you during the competition being used in Media that is related to your attendance at this event Yes No 4. Emergency contact details. In the event that you become ill or injured please provide the contact details of somebody who you would like to be contacted. (Please note that this information will not be retained following the event) Name Relationship Address inc post Code Tel 5. Do you have any special dietary requirements e.g. Vegetarian 6. I fully understand that this event is being conducted outdoors on uneven ground, may include climbing, lifting and jumping and I may encounter slippery surfaces. I fully understand that this event is unsuitable for individuals who suffer any chronic medical condition and or disability that may effect mobility or exercise tolerance and that in addition the MOD will not accept liability for any injury caused as a result of negligence on my part to either follow health and safety instructions and or as a result of any action or omission on my part to guard against personal injury. Name Signature Date / /