Step 1 Enter Your Details

Please use the form below to enter the event. It is your responsibility to enter the details correctly. These details will be used for results so please pay particular attention to your gender and your date of birth. The event organiser may be sending out race packs or event information. These will be sent to the address that you supply below. If you do not enter the correct details then you may not receive them.

PLEASE DO NOT INSERT YOUR FULL ADDRESS IN EACH OF THE ADDRESS FIELDS. ONLY ENTER THE DATA REQUESTED.

Personal Information

(If applicable)

(Day - Month - Year)

(Age on the day of the event)

(Please enter N/A if you are not a member of a club)

Emergency Contact Details

Please provide a contact name and number of someone who we can contact on the day of the event in case of an emergency.

What is your estimated time to complete: 10K, 5K (Format HH:MM:SS)

*Are you part of a team? If yes, please provide your team name or the name of your team lead. If no, please write N/A.

*Are you planning to donate or raise sponsorship for Neurocare?

*Where did you hear about Head Start 2019?

Entry Options - Please choose an entry option below

£18.99 - 10K entry - includes 99p booking fee (15yrs+)
£16.99 - 10K entry (UKA affiliated) - includes 99p booking fee (15yrs+)
£11.99 - 5K entry - includes 99p booking fee (6yrs+. Children aged 12 and under must be accompanied by a participating parent or guardian)
£0.99 - 5K entry (under 5’s ONLY) - includes 99p booking fee (Children must be accompanied by a participating parent or guardian)
£0.99 - 2018 deferred entries - includes 99p booking fee

Additional Items

We have some additional items that you can purchase along with your entry.

Charity Donation

Would you like to make a charitable donation to our nominated charity:

Charity Name - Neurocare

£  
I am a taxpayer and wish for my donation to be made under provisions of the Gift Aid Scheme

Disclaimer

Please read the following terms and conditions carefully before accepting. | (1) Entry and participation in Head Start 5K & 10K 2019: (i) By entering this event I declare that I am of age. If I am under 12 years old, I declare that I will only take part in the 5K and will do so with a participating parent or guardian. If I am a parent or guardian completing this form on behalf of a minor I declare that they are of age or agree that they will be accompanied by a participating parent or guardian. (ii) To the extent permitted by law, I accept that the organisers and sponsors of the race, or any of their agents, will not be liable for any loss, damage, action, claim, costs or expenses, which may arise in consequence of my participation of the event. Nothing in these terms of use shall exclude or limit the liability of the organisers or their agents for death or personal injury due to it's negligence or for its fraud. | (2) Medical conditions: (i) I agree that I will not compete in the race unless I am medically fit on the day of the race and that in any case, I will compete at my own risk. I agree that I will note any medical conditions on the reverse of my runner number, and I will make Neurocare aware of any prevailing medical conditions by emailing info@neurocare.org.uk. Failure to note any medical conditions on the reverse of my running number and/or notify Neurocare of any prevailing medical conditions is taken entirely at my own risk. (ii) By entering this event I consent to any medical treatment being administered during Head Start 5K & 10K by official medically-qualified personnel. I agree that the organiser may reasonably prevent me from taking part in the event at any time if the organiser, advised by any medically-qualified personnel, deems my participation in the event to be against the interest of my health and/or safety. | (3) Data Protection and Communication: (i) By entering this event I agree that my details will be added to Neurocare's list of supporters so that we can keep you up-to-date by post with vital information about the event, and how you are making a difference to neuroscience patients in Sheffield. This includes sending you our newsletter and information about fundraising. Any personal details you provide are stored securely. We will never send your details to any third party. (ii) We prefer to use email as our main method of communication with event participants as this is the quickest and cheapest way to let you know important information about the event, allowing us to spend more of your entry fee on changing lives. Please consider choosing to receive important event information by email using the drop down box below. We will only send you information regarding the event itself and will not use your email address for any other purpose. (iii) If at any point and for any reason you would like to change the way you hear from us, how often you hear from us or you would prefer us not to contact you in this way please email info@neurocare.org.uk or call 0114 226 9678. | (4) Use of your image: (i) I grant my permission for Neurocare and it's sponsors, assigns and licenses to use or authorise others to use photographs, motion pictures, recordings, data or any other record of my participation in this event for any legitimate purpose. If you do not wish for your image to be used please contact Neurocare by emailing info@neurocare.org.uk or calling 0114 226 9678. | By registering to this event you are accepting the above terms and conditions.

I agree with the disclaimer as described above.

Refund Policy

Sorry, we cannot currently accept refunds. You may be able to transfer or defer your entry before 14th May 2019. Please get in touch with us to discuss transferring or deferring your place.

I agree with the refund policy as described above.

Important Event Information

*To manage this event effectively we will need to send you important event information by email. We will be providing information that we really need you to see. We will only send you information regarding the event itself and will not use your email address for any other purpose.

Security Question

*What number is between 103 and 105?

Enter answer here.

Remember Me

If you would like to remember your basic details and save time filling in this form for other events then please tick the box below. This is not advisable on public computer systems.

Remember my details