Race Entry Form

Title (Mr, Ms, Mrs etc)*
Given Name*
Family Name*
Date of Birth (dd/mm/yyyy)*
Gender*
Address Line 1*
Address Line 2
Address Line 3
Post Town*
Post Code*
Address Country*
Telephone Number*
Mobile Number*
Email Address*
Confirm Email Address*
Select Event*
Medical Conditions / Allergies the event organisers should be made aware of
Emergency Contact Name*
Emergency Contact Number*
Select Charity Partner*

Declaration
By submitting this form I confirm my wish to enter The Donor Run 2.5k or 5K and agree I will be bound by the Terms & Conditions. I confirm that I am taking part at my own risk and acknowledge that the organisers are not responsible for death, personal injury or any loss or damages arising from participation or as a consequence of participation in the event. I understand that official photographers may be in attendance at the event and that my image may be used in future marketing and PR. By submitting this form I confirm my wish to enter the selected race/event and agree I will be bound by the MyRaceEntries Terms & Conditions (click to view)

  

The Westfield Health British Transplant Games is working in partnership with other organisations and would like to share your data, including email address and phone numbers, for you to receive information about their special offers and local news. By giving us your email address and phone numbers you agree that we can pass them onto our selected partners for marketing purposes. If you wish your data to be passed on and used for these purposes please tick this box

MLS will pass your details to Transplant Sport to inform you about future donor runs and events.

 

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