Great North Run Own Place

Information about you
Title * Required
Name * Required
First Last
Date of birth * Required
DD slash MM slash YYYY
Email * Required
Phone Number * Required
Address * Required
Postcode * Required
Address * Required
Address Line 1 City County Post Code Country
If you are running as part of a team, please tell us the name(s) of your teammate(s)
Running t-shirt or vest? * Required
- t-shirt
- vest
Please state your running vest/t-shirt size * Required
Employer
Where did you hear about WellChild’s involvement in the event? * Required
Other
Please read the below carefully
* Required
- I have secured my own place in this event and wish to raise sponsorship for WellChild
* Required
- I agree that I participate entirely at my own risk and accept that WellChild are not liable for any loss, damage, claim, expense, injury or accidents which may arise as a consequence of my negligence at the event. I will abide the rules of the event and remain responsible for my own property. I am in good health and will have done sufficient training to safely complete the course.
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Great North Run Own Place

Information about you

Please read the below carefully

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