Virtual MadRunner Registration

Impossible d'ouvrir ce fichier car JavaScript n'est pas activé dans votre navigateur. Activez-le, puis rechargez la page.

Adresse e-mail *

First name *

Last Name *

Town / City *

Date of Birth *

Please enter using the format: Month, Day, Year,

YYYY

Please state your gender: *

This is for the purpose of the leaderboard

Female

Male

Prefer not to say

Do you have any health considerations that may affect your ability to run or train with MadRunners? *

Please provide details below or state No.

Which challenges would you like to take part in? *

Please tick all that apply

Solo Weekly Challenge (single run)

Solo Monthly Challenge (multiple runs)

Lunch break Challenge (single activity)

Obligatoire

Waiver of Liability *

I understand and accept these conditions

Effacer le formulaire

N'envoyez jamais de mots de passe via Google Forms.