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Event Details
Event Type
Event
Personal Details
Title
*
First Name
*
Surname
*
Date of Birth
*
Gender
*
Address and Contact
Address
*
Address 2
Town / City
*
Postcode
*
Telephone
*
Mobile Tel
Email Address
*
Confirm Email
*
In case of Emergency
Emergency Contact
*
Emergency Tel
*
Membership
Athletics Club / Team or Company Name
Athletics Club Member
*
Passport to Leisure Membership Number
A relay team consists of 4 people. If you are entering a relay team, please ensure you select the correct category.
Your gender and Date of Birth will be used to calculate your event Category. Please note that if this is a team entry, you must ensure that all the team members fit into the same category. The category will be determined by the first entrant in the team.
Telephone numbers must only contain numbers. Do not include spaces or special characters such as brackets or extension numbers.
Please ensure that your email and confirmation email address are identical.
Please provide contact details that we can use in the event of an emergency. This person should not be involved in the run themselves and should be available during the event.
Your entry may be cancelled without refund if we discover that the supplied UK Athletics Membership Number or Passport to Leisure Membership number are invalid
Please continue to enter the next member of your relay team or to go to our payment summary where we will ask you for more details.

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If you need any additional information please contact Pennine Events on 01772 447979 or email [email protected]