Extra Extra Large
*Are you running for one of the following charities; Joining Jack, The Mayor's Charity, Joseph's Goal, Wigan Rotary Club, Wigan Youth Zone, Champsappeal, Wigan Stars, Blessings in Disguise, Carrie On Fighting, WLDCS, Embrace, Wigan Samaritans. Please state which one, or none.
*Would you like to receive information on any other events created by our organising charity Joining Jack http://joiningjack.org/? PLEASE STATE YES OR NO
*If you are entering a 4 person corporate team, what is your team name called?
*Are you a wheelchair entrant? (No hand-cycles allowed) Yes/No
*Are you happy for your details to be passed onto Joining Jack & selected event sponsors. Details will not be sold to any third party
Entry Options - Please choose an entry option below
Would you like to make a charitable donation to our nominated charity:
Charity Name - Joining Jack
I am a taxpayer and wish for my donation to be made under provisions of the Gift Aid Scheme Disclaimer
This event by its very nature is hazardous and contains certain inherent risks. Participants are responsible for their own safety. It is the participants responsibility to ensure that they are physically capable to start an event of this distance and terrain. Participants should contact their own doctor if they are uncertain on this point. By agreeing to these conditions the participant accepts that they enter this event at their own risk and accept that the event organisers and their employees are not liable for any loss, damage claim, expense, injury or accidents which may arise as a consequence of the participants negligence in this event.
I agree with the disclaimer as described above. Refund Policy
We are unable to offer refunds or deferrals for the following year.
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.
I am happy to receive important event information
I do not wish to receive important event information
*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.
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