Hemsted Forest 2 mile Run                              Everybody...                                                                       has a story running...                                                                               Peace & Light...

Location: Hemsted Forest, Goddards Green Road car park entrance, Benenden, 
Kent, TN17 4AN
Race Dates: As above
Time: 6pm

Participants details
Full Name
First Name:____________________Last Name:__________________
Age:___________
Date of Birth:_______________mail:___________________________

Address
Street Address:____________________________

Street Address Line 2_______________________

Town:___________________County:_______________________

Post code:____________Phone Number:_______________

Emergency Contact Person

First Name:_________________Last Name:___________________
Emergency Person Phone Number:

Phone Number:__________________
Relationship to Emergency Contact Person: _______________________
Registration Fee enter on the day only
2 mile run or walk £3.00 
5K run or walk £3.00

Release waiver:
I confirm that I am in good shape, health, and condition.
I don't have any medical condition or medical history that will affect my participation in this event.
I will follow the rule and regulations of the road race event.
I acknowledge that this road race requires physical activity and there are possible risks and danger.
I release the road race event organizers for any responsibility in case of an accident, illness, or injury.
I allow my photo to be taken during the event and used for event advertising and marketing.
I confirm that all information in this registration form is accurate and true.
Participant's Signature:_____________________________

Date Signed:_________________________

Parent/Guardian Signature (If participant is below 18 years old):_________________________________