Vest Size

X-SMALL

 

SMALL

 

MEDIUM

 

LARGE

 

X-Large

 

2X-Large

 

Personal Information

Name

 

First Name

 

Surname

 

Date of Birth

DD

MM

YY

You must be over 17 on race day to run the half marathon

Gender

Male

Female

Medical Information

 

Contact Information

Address

 

 

City

Post Code

 

Mobile Number

 

Email Address

 

Emergency Contact Information

Contact Name:

First Name

 

Surname

 

Contact Phone

 

Other Information

Club/Team Name

 

Best Time

 

Name for Bib

 

By accepting a place to run for GTCA you agree to raise a minimum of 150. (inc 30 entry fee)

Tick to agree

Disclaimer. Tick this box to confirm you have read the terms and conditions below.

 

In order to run in the 2018 Brentwood Half Marathon event runners agree the following disclaimer and to the Terms & Conditions:

I declare I will abide by the age limits set for the event and will abide by the laws and rules of UK Athletics. I declare that I will not compete in the race unless I am medically fit on the day of the race and that, in any event, I will compete at my own risk. I accept that the organisers, sponsors, partners, marshals will not be liable for any loss, damage, action, claim, costs or expenses, which may arise in consequence of my participation of the event. I also hereby give my permission to the Rotary Club of Brentwood a Becket to use my name, quotes, video and photographic likeness for marketing and promotional purposes. I also understand that entry fees are non refundable. I also agree terms and conditions before I will run the event.