CSY Registration form for Leeds 10K run - 5th September 2021

Personal Information

Date of Birth
Country*
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

Running Vest 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 via Just Giving in aid of Cancer Support Yorkshire.  

 

Personal sponsorship forms will be issued at your request.

Please Note - money and forms, used and unused, must be returned by Monday 20th September 2021.

 

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/

 

 

Payment Information

Amount*
£
Payment Type
We only accept credit/debit card payments. After you complete this form, select Submit to enter your card details into our secure transaction processor. Your submission will be processed when you finalize your secure payment information.
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