Challenge St Helens 5k & 1k Charity Run - in association with Bitopia Ltd.

Your Details
Your Charity
Under 18s
Confirmation
Payment

Registration via the website is quick and simple. You can register up to 20 people at a time and the main registrant needs to be 18 or over. The main registrant does not have to take part in the race. Once you have entered all your details you can pay via debit or credit card. If you have any problems or queries please feel free to contact us.

Your Details

Title *

Forename(s) *

Surname *

Date of Birth *

Your Address

Address *

Town/City *

County

Postcode

Your Contact Details

Telephone

Email Address *

Confirm Email Address *

Emergency Contact Details

Emergency Contact

Contact Name *

Telephone Number *

Will you be participating in a race?

Will you be participating?

Yes, I will be taking part in a race No, I will not be participating

If yes, which race will you be participating in?

Which Race?

1k run 5k run