Born Survivor 2024 Sign Up Form

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Unique Kidz and Co are excited to be one of Born Survivor’s official charity partners. Don’t miss your opportunity to join Team Unique. We are looking for individuals and teams to take part in the 6km and 10km military obstacle challenge!

We can offer you a free place in exchange for raising a minimum of £120 in sponsorship!

Once this form has been received, we will issue you with your code to redeem your place on www.born-survivor.com

Event *

Full Name *

Address *

Postcode *

Phone number *

Email Address *

Date of Birth *

YYYY

Race Length *

T-Shirt Size *

Where did you hear about this event?

Thank you!

Your support makes a huge difference to the lives of disabled children, young adults and their
families in the Morecambe & Lancaster area. We would love to keep you updated about what
we do, the events we have going on and about how you can help.

Please tick any box that is appropriate

Please tick this box if you would like to receive email updates

Please tick this box if you give permission for Unique Kidz & Co to use any photographs from the event for press, on social media or their website

Agreement

By submitting this form, I pledge to raise the required sponsorship amount of £120 for my place in Born
Survivor 2024 for Unique Kidz & Co and will not share any sponsorship or other funds raised with
any other charity. I agree that all sponsorship money will be handed in to Unique Kidz and Co by no
later than 6 weeks after the event date.

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