The Hogarth Santa Fun Run 2025 Healthcare Declaration Statement

Healthcare Declaration Form

The Hogarth Club Santa Fun Run 2025
Name

First NameLast Name
Are you a Santa Run Ticket Buyer or an Attendee of a Ticket Buyer?
Name of Ticket Buyer

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: 00000000000.
Healthcare Declaration Statement

Please read the information at the following link before completing this form:

READ HEALTHCARE DECLARATION STATEMENT
Please confirm:
Acknowledgment, Authorisation and Waiver
Date:

MonthDayYear
Date
I agree to be contacted in relation to my visit or this healthcare declaration:
Would you like to receive occasional Club news, articles and offers?
Should be Empty:

Healthcare Declaration Form