The information you provide below will be used to send you all the details relating to the event and also fundraising tips and advice to help you along your fundraising journey and of course to hear about your success! 

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* 1. Full Name

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* 2. Email

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* 3. Number

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* 4. Participant Date of Birth*Must be aged 14 and over*

Date

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* 5. Have you already secured your place with the event organisers?

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* 8. I understand that by registering my details, once I have paid for my place I commit to raising £200 for Legacy Youth Zone

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* 9. Would you like to sign up to our mailing list to receive up to date news from Legacy?

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