User Agreement and Signature Form
Please review the terms and conditions, then sign to confirm your agreement.
Full Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: 00000-000000.
Signature
*
Date of Signature
*
-
Month
-
Day
Year
Date
Please choose below which race you wish to take part in
Tick here for a place in the Llanelli 10k or Half Marathon on the 8th Feb 2026
Tick here for a place in the Great Welsh Half or full Marathon on the 8th March 2026
Tick here for a place in the Swansea Bay Half Marathon on the 7th June 2026
Tick here if you would like your fundraising pack posted to you ? If left blank we will presume you will collect from us and we will be in touch with you to arrange.
Please choose what size Llys Nini Branded Running Vest you require.
Small
Medium
Large
X Large
XX Large
Agree and Submit
Should be Empty: