Run Together Tickets

Ticket type
Pair - two people under 16 Pair - two people over 16 Pair - one person under 16 & one person over 16

Name

Email

Event
Belfast
Derry

Runner 1 Name

What t-shirt size does Runner 1 require?
XS S M L XL

Runner 2 Name

What t-shirt size does Runner 2 require?
XS S M L XL

Emergency contact number

Action Cancer and Centra would like to email you as a cost effective way of keeping in touch. Are you happy to be contacted by Action Cancer and Centra in the future?
Yes
No

How did you hear about our event?
Social Media (Facebook/Twitter) Our website Friend/Colleague Radio Internet search Emailed invite Another website Article or blog post Word of mouth Leaflet/Flyer/Magazine Other

Waivers

Please accept this waiver to register for the event *
By entering Centra Run Together you have acknowledged and agreed to the race declaration: “You [the participant] have entered this race at your own risk. The organisers will in no way be liable for any injury before, during or after the event. You understand and agree that you participate in the event entirely at your own risk and that no responsibility whatsoever shall attach to any event sponsors, race directors or any persons involved in the organisation of the event for any injury, accidents, loss or damage suffered by you in or by reason of the event however such may be caused. You are healthy and have no known medical condition which would put you or others at risk. You are over 16 years of age at the time of the event.” By entering the race you have agreed to this Race Disclaimer and the Terms & Conditions of Centra Run Together.
I agree to the above waiver

Please read the below disclaimer regarding video/photography on the day of the event
“Images / films taken on the day of the event may be used by Centra NI and Action Cancer in their printed and online publicity, on social media, in newspapers and magazines, or in any other ways that further the aims of Centra NI/Action Cancer Run Together events. If you do not wish for you or your child's image to be used in this way please make yourself known to our photographer on the day of the event.”
I agree to the above waiver

Submit