Challenges and Runs for VSA

Monday, 28 August 2023, 00:00 - 23:59

First Name *

Last Name *

Gender *

Email *

Phone Number *

Are you taking part as an individual or within a team at your workplace, running group etc? * *

Please let us know the name of your workplace or group (if applicable):

What challenge would you like to enter ?

Would you like a Running Vest or T-shirt?

Please select your preferred size *

Please keep me informed of forthcoming events and news from VSA! *

Yes No

Do you have any medical conditions VSA need to be aware of? *

Yes No

Emergency Contact Name *

Emergency Contact Relationship *

Emergency Contact Number *