RABBIT RUN 20th January 2024

Athletics NI/UK Affiliation Number: ( If you are not affiliated simply enter NO in the box and then select the Un Affiliated fee option) If you fail to select the fee option you will be required to pay the fee on the day to receive your race number *

Un Affiliated Fee (If you are not a member of a UK Athletics Affiliated Club you must select this option) Select all that apply Un Affiliated Fee (+ £2.00)

Date of Birth *

Event disclaimer: I confirm that before entering this event that I or anyone else that i choose to enter on behalf off, have read and agree with the terms and conditions of the event disclaimer on the We Run Wild Ni website. * Select at least 1 I confirm

Emergency Contact Name and Telephone Number *

If you have entered another person we require all of the following details for each person in order to complete their entry: Name, Address, contact Telephone number and email address, please enter all details in the box below.

Deposit Payment * Select at least 1 If I have only paid the initial deposit to secure my place on this event, I confirm that I will make the balance payment on or before the 1st January 2024. I have read and agree with the conditions around the deposit payment scheme.

RABBIT RUN 20th January 2024

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