Event Registration Form
Last Pre-registration Day - December 30 2025
Your Name
Mr.
Mrs.
Miss.
Prefix
First Name
Last Name
Attendee Information
Please fill name and contact information of attendees. Please ensure that you indicate the Jog you wish to enter. You can enter up to 3 people per form. If you wish to enter more please use a separate form. Each entry is £2 (£1 for under 9s in 2k run) payable as cash on the day (please bring correct change if possible).
Email Address
example@example.com
Contact Number
Please enter a valid phone number.
Please indicate the Jog you wish to enter:
8.6k Seniors Jog (I confirm I am over 15 years of age)
4.3k Jog (I confirm I am over 9 years of age)
2k family jog (I confirm that any runner under 9 years of age will be accompnaied)
Do you wish to enter another person?
Yes
No
Additional Name
Mr.
Mrs.
Miss.
Prefix
First Name
Last Name
Please indicate the Jog you wish to enter:
8.6k Seniors Jog (I confirm I am over 15 years of age)
4.3k Jog (I confirm I am over 9 years of age)
2k family jog (I confirm that any runner under 9 years of age will be accompanied)
Do you wish to enter another person?
Yes
No
Additional Name
Mr.
Mrs.
Miss.
Prefix
First Name
Last Name
Please indicate the Jog you wish to enter:
8.6k Seniors Jog (I confirm I am over 15 years of age)
4.3k Jog (I confirm I am over 9 years of age)
2k family jog (I confirm that any runner under 9 years of age will be accompanied)
I declare that I am an amateur as stated in UKA/SA rules and will abide by those rules. I hereby agree that the organisers or associates shall not be liable for any accident, injury, loss or damage as a consequence of my participation in the event. I agree that we may publish your personal information as part of the results of this event and may pass such information to the governing body or any affiliated organisation for the purposes of insurance, licences or for publishing results either for the event along or combined with or compared with other events. Results may include (but not be limited to) name, club organisation, race times, and age category. I agree that any medical information provided for this event can be passed on if required for purposes of insurance and for medical and first aid cover associated with the event. I agree that my contact details can be used to communicate with me for matters relating to the organising of this event and by Lenzie Community Council, including but not limited to, updates on event planning and results and for communication about holding of this event in the following year. I also agree that photographs from the event may be posted on social media unless I inform the organisers in advance that I do not wish my image to be used.
I agree
Signature
Continue
Continue
Should be Empty: