Please select which race distance you are registering for *
Please state which option applies to you *
Any medical conditions we should no about *
Your answer
Emergency Contact Person Name and Contact Number *
Your answer
Accomodation is based on twin sharing rooms. If you are registering with a friend or family member, please tell us the name of person you wish to share with *
Your answer
How would you like to be kitted out for Race Day? *
Please tell us your T-shirt/vest size *
What is your personal fundraising target? *
Will your employers sponsor you or match what you raise? *
Clear selection
How did you hear about this challenge?
Clear selection
I am happy for Penny Appeal to contact me with updates for future events and activities. (Please tick box)