Registration – Run for Tash

First Name

Last Name

Email

Phone

Address

Address 2

Town

Postcode

Entry Costs

Please select 'Affiliated' option if you are registered with the UKA or Trail Runners Assocaition. Unaffiliated runners are charged £2

Gender

donation Address (copy)

Date of Birth

Club (if applicable)

Medical Information

Details of any medical conditions that Race officials should inform emergency services of in the event you need assistance

Emergency Contact

Name and Phone Number please

Would you like to provide an additional donation to our Charity Partners?

Total

£0.00

Terms and Conditions

Terms and Conditions (copy)

Stripe Credit Card