MAYFAIR POWER & TOWER RACE
 

Registration Form

 

If you would like to participate in the 2015 race on Friday 5th June, please complete the registration form below as well as complete the disclaimer form via this link.

Please click here to download the disclaimer form

 

Every individual ready to rise to the challenge will pay an entry fee of £20 and commit to raising a minimum of £200 through securing sponsorship. Teams of 4 will pay an entry fee of £50 and will be asked to raise a minimum of £1,000. All entrants will receive a race t-shirt and a champagne breakfast at Galvin at Windows (after the race).

Download your sponsorship form here

 

Set up your fundraising page and for more information click here.

Registration Form

 
Title  
First Name  
Lastname  
Company Name  
Address.  
   
Postcode.  
* E-mail.  
Telephone No:  
Date of Birth      
T-shirt Size.  
 

Which part of the race do you wish to compete in? race only race and obstacle Undecided at the moment

 

Additional Participants
Full Name (incl title) 1: T-shirt Size Date of Birth
Full Name (incl title) 2: T-shirt Size Date of Birth
Full Name (incl title) 3: T-shirt Size Date of Birth

Full Name (incl title) 4:

T-shirt Size Date of Birth
Full Name (incl title) 5: T-shirt Size Date of Birth
     
     
     

Where did you hear about the race?:

 
Individual Entry Fee* (£20 per person)
 

Team Entry Fee* (£50 per team)

 
Preferred Payment Method * or
 


Terms & Conditions

All funds raised must be payable to DM Thomas Foundation for Young People, which will then be ring-fenced for our Galvin's Chance programme.

All participants must be over 16.

Participants are responsible for their own medical condition. If you are in doubt about your fitness then you must consult your doctor before signing up to the event.

DM Thomas Foundation for Young People (formerly known as Hilton in the Community Foundation) will be organising this event following best practice guidelines and health and safety standards. You will be entering the Mayfair Power & Tower Race at your own risk and agree that the Foundation and associated companies and partners shall not be liable for any injury or loss that might occur as a result of participation.

By taking part, all participants confirm they are happy for any photographs taken during this event to be used by DM Thomas Foundation for Young People to publicise events and DM Thomas Foundation for Young People generally.

By agreeing to participate in Mayfair Power & Tower Race you are agreeing to your contact details being held on file by the Foundation. We will contact you with updates on the event as well as the work of the Foundation. If you don't wish to receive this information please write to events@dmtfyp.org

In accordance with data protection your information will not be shared with any other organisation or third party.

Central event fundraising costs are covered by registration fees. No event funds are used to cover salary costs.

To keep costs to a minimum we will send Mayfair Power & Tower Race updates by email only. By providing your email address you have agreed that we may use it to contact you about the race as well as the work of the Foundation.

Additional participants and/or team members will be contacted via the lead participant who fills out this form.

 

 
 

By signing up to Mayfair Power & Tower Race entry form I confirm that I have read and understand the terms and conditions.

 

* denotes required field
 
If you have any issues submitting this form please email your request to simon.sheehan@dmtfyp.org