First Name *

Surname Name *

Mobile number (parent or guardian if under 18) *

Runner or Supporter *

Within the last 14 days, have you experienced a new cough that you cannot attribute to another health condition? *

Within the last 14 days, have you experienced new shortness of breath that you cannot attribute to another health condition? *

Within the last 14 days, have you experienced a new sore throat, loss of taste or smell that you cannot attribute to another health condition? *

Within the last 14 days, have you had a temperature at or above 37.8C or the sense of having a fever? *

Within the last 14 days, have you had close contact with someone who is or was sick with suspected or confirmed Covid-19? *

Any additional information relating to the above questions ?

I confirm that I have answered these questions honestly and correctly. (If you have answered yes to any of these questions you may be denied entrance to the facility, so should contact the event organiser). Should there be any changes to your answers before the event starts then please notify markhookway@icloud.com immediately. *

Gender (Runners only)

Age Group (Runners only)

Your target time for the events specified or extra information over another distance. (Runners only)