Use this form to register your team’s interest for this year’s event with Race For Charity.

We will review your application and get back to you in due course.

First Team Member Details:

Full Name *

Age *

E-mail Address *

Phone Number *

Address *

City *

Postcode *

T-Shirt Size (Small, Medium, Large) *

Next of Kin Name *

Next of Kin Number *

Team Name *


Second Team Member Details:

Full Name *

Age *

Phone Number *

E-mail Address *

T-Shirt Size (Small, Medium, Large) *

Next of Kin Name

Next of Kin Number


Third Team Member Details:

Full Name *

Age *

Phone Number *

E-mail Address *

T-Shirt Size (Small, Medium, Large) *

Next of Kin Name

Next of Kin Number


Do you or your team members have any of the following medical condition/s?

 Asthma Breathing difficulties Heart conditions Diabetes

Others please state

Please tick this box to indicate agreement to our terms and conditions.

Please note fields with * are mandatory

Please be aware that all participants must be 18 yrs and over to take part. You may be required to provide proof of identity on request.

Please note that your information may be shared with our sponsored charities and partners so they can contact you with information regarding future events.