Client feedback - Fitness Matters

Name*

Email*

Telephone Number*

Club name?

Estimated Time to Complete Race

If you have no idea, please leave blank. Otherwise, please give us a rough prediction of your times.

Your Age On Event Day*

How would you like to pay?*

Direct to FM via Bank Transfer.
Debit / Credit Card / PayPal (75p fee)

Please note: You have selected "Direct Payment to FM via Bank Transfer". Your place will not be confirmed until we register the funds in our account. Our bank details will be sent to you via email when you complete this form.

PayPal Fee

Which race?*

1000m Early Bird
Relay Early Bird
Kids' Race

Team Name

Team Members Name (max 4)

Weight Category*

Lightweight
Heavyweight

Would you like to be added to our newsletter?

Keep up to date with Fitness Matters

Yes - please keep me up to date

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Let us know how we did