Supporting Galvin's Chance
To be able to participate in the race you need to complete the disclaimer form via the link below..
Please click here to download the disclaimer form
Title Mr Mrs Miss Ms Dr Prof
First Name *:
Surname *:
Email address *:
Phone number *:
Building/Office Number *:
Street *:
City *:
Postcode *:
If you require an event t-shirt for race, please fill in your prefered size here:
ENTRY FEE - £20
Preferred Payment Method *
Cheque WorldPay
We will be in touch to arrange payment of your entrance fee and to confirm your place. Happy Training!
TERMS AND CONDITIONS
I have read and agree to the terms in the disclaimer form, which I will complete and return *
* Required Fields