Rás 5km na Féile 2024

Rás 5km na Féile 2024
Áit/ Location: Ó Páirc Peile Lios Póil go Gabhlán/ Start Lispole Football Field to Goulane.

Dáta/ Date: Dé Céadaoin, 7ú Lúnasa/ Wednesday August 7th

Am/ Time: 7.30 in/ 7.30 pm

Eolas/ Info: Assemble at 7pm for race number. U16s must be accompanied by an adult. For more information contact: rasnafeile@gmail.com
Sonraí/ Participant Details
Ainm Reathaí/ Runner's Name*

Chéad Ainm/ First NameSloinne/ Last Name
Inscne/ Gender*

Bain. / FemaleFir. /Male
Aois/ Age*

Faoi 16 (€5)/ Under 16 (€5)Faoi 30 (€10)/ Under 30 (€10)Os Cionn 30 (€10)/ Over 30 (€10)
Costas Clárú/ Cost of Entry*
Ainm Tuismitheoir (fé 16)/ Parent Name (under 16)

First NameLast Name
Ríomhphost/ Email*
example@example.com
Uimhir/ Phone Number*

Area CodePhone Number
Seoladh/ Address*
e.g. Lios Póil, Annascaul etc..
Duine Éigeandála/ Emergency Contact Person*

First NameLast Name
Uimhir Duine Éigeandála/ Emergency Person Phone Number*

Area CodePhone Number
Tarscaoileadh/ Waiver
Aontaím gan páirt a ghlacadh san imeacht seo má tá aon chomhartha do Covid-19 agam (breoite, teocht, casacht, scórnach tinn, tinneas cinn)/ I agree not to partake in this event if I display any symptons of Covid 19 (feeling unwell, fever, cough, sore throat, headache).Ag cur isteach ar an imeacht seo, glacaim freagracht iomlán as aon aicíd, ghortú nó timpiste a d'fhéadadh a tharlú le linn an imeachta/ By submitting this form, I assume full and complete responsibility for any illness, injury or accident, which may occur while participating in this event.Glacaim go bhfuil cead ag na heagraitheoirí aon sonraí pearsanta atá tugtha agam sa bhfoirm seo a úsáid i gcóir eagrucháin an imeachta./ I agree that the organisers have permission to use any personal data provided in this form for the purpose of organising the event.
Participant's Signature*

Clear
Date Signed

DayMonthYear
Date
Parent/Guardian Signature (If participant is below 18 years old)

Clear

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Rás 5km na Féile 2024

Sonraí/ Participant Details

Tarscaoileadh/ Waiver

Íochaíocht Clárúchán/ Registration Payment