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Harvel 5 Runner ‘Swap’ Form
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* Indicates required question
Current Entrant Name
*
Your answer
Substitutes First Name
*
Your answer
Substitutes Last Name
*
Your answer
Substitutes Email
*
Your answer
Date of birth
*
Your answer
Next of Kin Name
*
Your answer
Next of Kin Relationship
*
Your answer
Next of Kin Contact Number
*
Your answer
Gender
*
Male
Female
Non Binary
Required
Address 1
*
Your answer
Address 2
Your answer
Address 3
Your answer
Town/City
*
Your answer
County
Your answer
Country
Your answer
Postcode
*
Your answer
Phone Number
*
Your answer
EA Unique Registration Number (URN) (if you have one)
Your answer
Running Club
Your answer
Do you consider yourself to have a disability?
Yes
No
If you answered yes to above, please let us know how we can help?
Your answer
Do you have any medical conditions, which we need to be aware of?
Yes
No
If you do have a medical condition can you plse add a brief description?
Your answer
What will your age be on Race day (June 3rd 2024)?
*
Your answer
Have you raced the H5 before?
*
Yes
No
Required
If NO, how did you hear about the H5?
Your answer
By entering our event, you declare that you are 'of sound body & mind' and will race within your own personal limits?
*
Yes
Required
Do we have your permission to retain your data PURELY for H5 race administration purposes?
*
Yes
No
Required
Do we have your permission to use any images/ photos, from race day?
*
Yes
No
Required
Complete the following sentence, if you can..."I absolutely love the H5 because...."
Your answer
Do you have a family member or friend, in the HHHH (if so, who)?
Your answer
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