CSY Registration form for Leeds 10K run - 7th July 2019

Personal Information

Date of Birth
Country*
State / Province*
Address*
City*
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*
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Email*
Confirm Email*
Phone*
Emergency Contact Name
Emercency Contact Number
How did you hear about this?
Reasons for Participating
Do you have a personal target that you would like to raise?

Event Information

Quantity
Price
Total
Registration Fee

Registration covers the entry fee pre-paid by CSY, plus you will receive one of our charity T-shirts. N.B fees are non-refundable. Please complete 1 Registration form per participant. Thank you for your Support! Good Luck

X
£
25.00=
£
0

T-shirt size

What size t-shirt do you require?

Photo Consent

For publicity purposes we would like to post a photo of you with a few words about why you are supporting us. May we do this?

Consent Information

 

 

CSY would like to keep you informed about our projects and fundraising activities and ask you to opt-in to our communication options.
 
We don't share information with any third parties and you can unsubscribe at any time by contacting us.
 
 

Declaration

Declaration – I, the undersigned, commit to raising a minimum of £100.00 in sponsorship in aid of Cancer Support Yorkshire.  I will also endeavour to return all monies and sponsorship forms by the deadline date of Monday 22nd July 2019.

Sponsorship forms will be issued on receipt of this registration form.

 

Please Note - all sponsorship forms must be returned including any that are unused.

 

By signing this form you are confirming that you agree to raising the minimum sponsorship and have read the terms and conditions for the Run For All Leeds 10K. See website https://www.runforall.com/terms-and-conditions/

 

N.B. Closing date for entries Tuesday 30th April 2019

Payment Information

Amount*
£
Name on Card*
Card Number*
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