Registration RTN 2018

Name
Address Line 1
Town
County
Postode
Email
Repeat Email
Home Tel
Mobile
Date of Birth
Medical Conditions
(see Note 1)
Departure Time
(see Note 2)
Jersey Size
(see Note 3 opposite)
Team Name, If you have friends/colleagues who would wish to start with, please enter a code word here
(see Note 4)
Emergency Contact Name
Emergency Contact tel
I accept the Terms & Conditions