Full Name
Email
I consent to receive race details and results via this email address.
Please note: We will email important race / event information to the email address you supply to us here. Important race / event information will also be distributed on this website. It is your responsibility to ensure that this is a current and valid email address. If you change your email address, please notify us. We accept no responsibility if you are unable to receive this information.


Select Race:


Order or Receipt Number (on PayPal receipt):


Date of Birth (required)


Gender (required)


Emergency Phone Number


Existing Medical Conditions


Are you a member of a running club?


Are you happy for us to give you a 'shout out' and welcome on our social media pages?
YesNo


Would you be interested in contributing towards the cost of a shuttle bus to the start of the race?
YesNo


Have you paid for additional entries? (Maximum of 4)

For additional entries this information must be completed now.


Runner 2





I consent to receive race details and results via this email address.








Runner 3





I consent to receive race details and results via this email address.








Runner 4





I consent to receive race details and results via this email address.








Full race entry conditions can be found here: Entry Conditions


Terms of entry.*
I / we have read and agree to the terms and entry conditions for this event.
I / we agree to the terms of entry.
I / we agree to share our details with the chip timing company for the purpose of generating the race results.
I / we agree to our medical details being shared with the event first aid team and emergency services.
I / we agree for our photographs being used for marketing purposes and if I / we win a prize our name mentioned in marketing material.


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