Northampton Colour Run 2024

My Details

First Name *

Last Name *

Date Of Birth *

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My Contact Details

Email *

Phone Number *

My Address

Address Line One *

Address Line Two

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Create or Join a Team

CREATE FIND

It is not essential to be part of a team to take part, so please skip this question if you are an individual taking part.

If you are part of a team, please give your Team Name here

Are you a supporter of Cynthia Spencer Hospice?

Are you a supporter of The Lewis Foundation?

Emergency Details

In case of an emergency at the event, please let us have your emergency contact details and any medical conditions that you have.

Emergency Contact Name *

Emergency Contact Number *

Please give details of any medical conditions *

Donations

We understand that fundraising isn't for everyone, so if you would prefer to make a donation, you can do this at the checkout. Your donation will be split evenly between The Lewis Foundation and the Cynthia Spencer Hospice charity and will help both charities to continue to make a difference.

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Gift Aid Declaration:

* I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax in the current tax year than the amount of Gift Aid claimed on all my donations it is my responsibility to pay any difference.

Disclaimer

On entering the event, I understand that The Lewis Foundation and the Cynthia Spencer Hospice charity, cannot be held responsible for any injury or loss sustained by me however caused and arising from my participation in the Northampton Colour Run 2024. I agree to abide by the countryside code and the event rules. *

Keeping in Touch

The Lewis Foundation and the Cynthia Spencer Hospice charity would like to keep in touch occasionally using the contact details you have supplied.

I opt in for email contact by The Lewis Foundation

I opt in for email contact by the Cynthia Spencer Hospice charity

How did you hear about this event? *

If other, please state where you heard

If you have a discount code, enter it here

My Details

My Contact Details

My Address

Create or Join a Team

Emergency Details

Donations

Disclaimer

Keeping in Touch

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