Register for Heads On's Rainbow Race

Contact Details

Date of Birth*
Country*
Email*
Confirm Email*
Phone Number*

Staying in touch

Please let us know if you are happy to be contacted about Heads On, including news, information about future fundraising events and the projects that we support. 

Entry fee

Your entry fee only covers event expenses. We ask everyone taking part to fundraise either through sponsorship or a donation. 

Quantity
Price
Total
Adult Ticket

Adult entry fee

X
£
5.00=
£
0

Child Ticket

Child entry fee

X
£
2.50=
£
0

Final Total:
£
0

T-shirts and running vests

Please choose between a running vest or t-shirt:

Running Vests

If you would like a running vest, please select a size:

Adult T-shirts

If you would like a t-shirt, please specify a size:

Small
Medium
Large
Extra Large
Double Extra Large

Child T-Shirts

Small
Medium
Large

Who's participating?

Please tell us the name and date of birth of the people you are registering and paying for. Please also let us know if they will be needing a running vest/T-shirt (one per participant):

What you're doing...

The entry fee covers event expenses. In order to make a difference to those suffering from mental health issues as a result of Covid-19, we rely on you to help us fundraise. This can be via sponsorship, or a one-off donation. We are aware that some people may not feel comfortable asking for sponsorship, which is why we have included this donation option. Please tell us what you intend to do:

Distance*
If 'Other', please let us know which one

Last few details...nearly there

If 'Other' please specify:

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.

If you are happy to share your story with us, please do so here

Additional Comments
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