My Details

First Name *

Last Name *

Date Of Birth *

Gender *

Male Female *

Club or Team

Club or Team: *

Registration No *

My Contact Details

Email *

Phone Number *

Mobile Number *

My Address

Address Line One *

Address Line Two

Town/City *

County

Postcode *

Country *

Emergency Contact Details

In case of an emergency please provide the name and contact number of someone who is NOT running.

Medical Details

Do you have any medical conditions the organiser should be aware of?

Donations

Donation to St Michael's Hospice.

Choose an amount:

�10

�20

�50

Other (�)

No Donation

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.

Emergency Contact Name *

Emergency Contact Number *

Declaration

Please accept this entry for the Hastings 5 Mile I will be at least 15 years of age on race day and I confirm that I am medically fit to compete. I also declare that I have no medical disabilities that will endanger me or others participating in the event. I accept that I enter at my own risk and that the organisers and sponsors will in no way be held responsible for any personal injury, or loss or damage to property before, during or after the event. I understand and accept that the organisers reserve the right to cancel the race if adverse weather should make conditions too dangerous for competitors, or a serious incident occurs that prevents the race going ahead. In this event, there will be NO REFUNDS. I also accept that if I am entering this race on behalf of another person, I am authorised by them to accept these Terms and Conditions on their behalf. I will also take the responsibility to ensure that they are aware of any further information provided about this race e.g. confirmation and race information emails. I also confirm that if I am under 18 years of age on race day, I have the permission of my parent or guardian to take part in this race and I have included their contact details below.

I have read and understand the Terms & Conditions *

If the entrant is under 18 on race day then parent/guardian details must be provided. By providing these details you are confirming that you have parental permission

Parent/Guardian's Name

Parent/Guardian's Tel. No:

Data Protection

The personal information gathered by Sport Systems when you place your order will be used for administering the event such as contacting you by phone or email to check details or correct a typo in an address. The users of this could be Sport Systems, the race organisers, or any appointed third party, such as an official photographer, or a different race timer. Certain details such as your name, event category and running club, but not contact data, may appear on various results websites, results emails, text messages and could even appear in newspapers.

I have read and understand the Terms & Conditions *

Please keep me informed of future editions of this event. *

Please keep me informed of other events with which Sport Systems are involved. *

How did you hear about this event?

Please select *

The Hastings Runners 5 Mile Road Race