Chitty's Challenge Registration

Chitty's Challenge Registration

We are delighted that you are joining our Chitty's Challenge Event - thank you for your support.

Entry costs £20 per runner for each mile undertaken.

You will run alongside Lynne Chitty, our heroic virtual London Marathon runner who will be completing the full 26.2 miles on the day - please complete the following information and pay your registration fee to become part of this unique event.  Each individual needs to complete their own form in order to register.

Your mile will be allocated to you nearer the time and will be in close proximity to the Sanctuary in Compton.

You will receive your welcome pack and more details of the event shortly.

We look forward to welcoming you to our team!

Thank you for joining Chitty's Challenge!

Registration Form
Details of the runner:
Full name: *
Full address (including postcode):
Email address: *
Contact number: *
Date of birth:
Emergency Contact Details (for the day of the event):
Emergency contact name: *
Emergency contact number: *
Medical Information:
Please tell us of any medical conditions, allergies and/or medication that we should know in the event of an emergency:
Allergies/Medical Conditions:
Current medication taken:
Do you have any disability?
If yes, please give details:
Challenge T-shirt:
What size t-shirt do you require?
Declaration and Disclaimer
By submitting this form, I confirm that I have read the information about Chittys Challenge and agree to the conditions of entry.
I also understand that the entry fee is non-refundable and that Mane Chance cannot accept any responsibility for any injury to myself, spectators or my property before, during or after the event.
Please tick the box to confirm your agreement to the declaration and disclaimer

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Email address: *

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