Offa's Dyke 2 Registration Form
Trethomas Virtual Running Club
Participant Details
Full Name
*
First Name
Last Name
Date of Birth
*
-
Year
-
Month
Day
Date
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
T-Shirt Size
*
XS
S
M
L
XL
XXL
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.
Signature
Registration Payments
Registration Fee
*
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Offa's Dyke Challenge
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16.50
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