5K Fun Run/Walk 2nd June 2017 at 7.30pm

Register for the 5K Run/Walk below

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* 1. What is your first name?

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* 2. What is your last name?

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* 3. Where do you live?

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* 4. What is your gender?

Male

Female

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* 5. What age will you be on June 2nd? (the evening of the 5K Fun Run/Walk)

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* 6. What size of t-shirt would you like?

Child - unfortunately our supplier does not have children's sizes

XSmall

Small

Medium

Large

XLarge

XXLarge

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* 7. Are you taking part in Couch to 5K 2017?

Yes

No

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* 8. Have you taken part in one of our previous Couch to 5K programmes?

Yes

No

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* 9. What is your mobile number? (please do not enter any spaces ie 0871234567)

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* 10. What is your email address?

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* 11. What Athletics Club do you belong to (write none if not applicable)

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* 12. Thank you for registering for the 5K Fun Run/Walk, we will be in touch closer to the time with further details. In the meantime please feel free to contact us on 0868420203 if you have any questions. Please register children separately.