Lionhearts Fitness Race Team- Competitive (8 am)and Open Group (11 am)
Lionhearts Fitness
Name of parent / guardian if under 18
First Name
Last Name
Name of competitor
*
First Name
Last Name
Address
*
Number
Street Address Line
City
State / Province
Postcode
Emergency phone number
*
Age
*
Gender
*
HEAT
Please Select
ALL OPEN 11am
ADULT COMPETITIVE 8AM
Please tick to agree
*
You give you consent to allow the participant to take part in Phoenix OCR Race with Lionhearts Fitness
I will sign in at event as a preregistered Lionheart Racer. I will sign a waiver at that time.
Please remember that extreme sports can be dangerous and whilst every effort will be made to minimize risks there will always remain risks and you are fully aware of the possiblity of injury.
STORIES – PUBLICITY/MEDIA CONSENT FORM
My story
Film
My photograph
My real name
Tick to agree: *Publicity and promotional purposes means internal and external communications.Internal communications - e.g. resident newsletters, the staff intranet, emails, etc External communications - e.g. social media, websites, brochures, posters, leaflets, broadcast and print media, fundraising bids, policy and research reports, government consultation responses, etc)
Email
example@example.com
Signature of parent/ guardian or competitor if you are over 18
*
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