Register - Run 4 Life

Registration Requirement

Registration is now Open

Entry to the Run 4 Life is open to all, however you will need to complete the entry form and pay the qualifying fee.

The registration fee is £10 to all entrants

What you will receive for your registration
• A medal
• Bib & a Timing Chip
• Possible ticket to watch a match at Dagenham & Redbridge football club
• Certificate of participation
• A goody bag containing: Water, an Energy Bar & Energy Drink

Entry requirement
• Minimum age 10 years
• Healthy & Fit

* Please Note: The Run4Life Marathon does not allow participants being pushed around the course as our event will be governed by the rules IPC, IAAF and UKA, all of which state that a person cannot get outside help in an event. This precludes anyone being pushed.

Please fill in the form to register

Name*
First Last
Email
Mobile Number*
Date of Birth*
Date Format: MM slash DD slash YYYY
Gender
- Male
- Female
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
What Charity are you raising funds for?
Click here for list of Charities
How did you hear about LBBD Run4Life?*
Why do you want to take part in Run4Life?*
Why do you want to take part in Run4Life?
Are you running the marathon in memory of someone? Please tell us about it.
Have you run a marathon before? Tell us about your running/marathon experience.
Consent*
I confirm I am medically fit to take part in this event (please contact your GP for advise if you are unsure). Please note that once you have registered your registration fee (£10) is non refundable.
Consent*
I agree to have my personal information shared with the charity of my choice as indicated above (Your information will only be shared with the charity you listed)
Consent
I acknowledge that my image may be used by PHCN for future
Thanks for joining us at Run4life
We would like to keep you updated on Run4life beyond 2020 therefore kindly tick one of the following boxes:
Tick here to receive updates either by*
- Phone
- Email
- Or text messages
- I don't wish to receive any updates about the Run4life events
Please indicate whether you are*
- Taking part in 5k marathon
- Taking part in 10k marathon
Signature/Initials*
Date*
MM
DD
YYYY
Registration Fee*
Price: £ 10.00

Registration Requirement

Registration is now Open

Please fill in the form to register

Thanks for joining us at Run4life

To register as a group please email admin@phcn.org.uk or call 02085175827.