Hackney Half Run Club

Registration
A slightly longer, social run for around 1 hour. Limited spaces available.

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Date
Location
Time
Full Name*

First NameLast Name
Email Address*
example@example.com
Phone Number*

Area CodePhone Number
Date of Birth*

DayMonthYear
Date
Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Emergency Contact Name*
Emergency Contact Phone Number*
Please enter a valid phone number.
Gender*

MaleFemaleNon-binaryPrefer not to sayOther
Ethnicity*
Do you have any medical conditions or allergies we should be aware of? If yes, please specify.
Would you consider yourself to have a disability or any long-term health condition (separate from above)? If yes, please specify.
Are you a wheelchair participant?*

YesNo
Are you a member of a running club?*

YesNo
If yes, which running club?
Can we keep in touch with you about exciting news and offers from Hackney Moves and the event organiser, Motiv Sports UK?*

Yes, I'd like to receive exciting news and offers from Hackney Moves and Motiv Sports UKNo, I wouldn't like to receive exciting news and offers from Hackney Moves and Motiv Sports UK
Would you like to receive exclusive offers and discounts from our event partners and sponsors?*

Yes, I'd like to receive exclusive offers and discounts from our event partners and sponsorsNo, I wouldn't like to exclusive offers and discounts from our event partners and sponsors
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Registration