Offa's Dyke Registration Form
Trethomas Virtual Running Club
Participant Details
Full Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
T-shirt Size
XS
S
M
L
XL
XXL
Registration Payments
Registration Fee
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next
( X )
Offas Dyke Challenge
£
16.50
Enter coupon
Apply
Total
£
0.00
Waiver & Release
I confirm that I am in good shape, health, and condition.
I don't have any medical condition or medical history that will affect my participation in this event.
I acknowledge that this event requires physical activity and there are possible risks and danger.
I release the event organizers for any responsibility in case of an accident, illness, or injury.
I confirm that all information in this registration form is accurate and true.
Participant's Signature
Date Signed
-
Month
-
Day
Year
Date
Pay
Print Form
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