Charity Event Registration

Charity Event Registration

Register to join the fundraiser for the Maternity Bereavement Suite at Calderdale Hospital, supported by BirdBoxx Gym, Visual Blinds, and Fortis Training Studio. This will be a Hyrox style charity fitness race. Races will be split into Mixed pairs, Women's and Men's. You are welcome to complete the paired workout alone if you are at an advanced fitness level
Event Details
Event Date

DayMonthYear
Date
Full Name*

First NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Emergency Contact Name*
Emergency Contact Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Do you have any special requirements or notes for the organizers?
JustGiving donation is required to complete your registration and enter the competition. Please make your donation on JustGiving before submitting this form, then provide your donation confirmation or JustGiving link below. £20 donation to the charity required. Justgiving page:

https://www.justgiving.com/page/hyroxsimulation?utm_medium=FA&utm_source=CL
JustGiving Donation Confirmation or Link*
Required for competition entry
Should be Empty: