Lincs BOx Event Combined X Country Run & Bike Ride (Duathlon) 2019 Entry Form
Please remember that by entering this event you are agreeing to abide by the rules and accept responsibility for your own safety.

Please also note that there is a problem with Google Forms and with some mobile devices on submission of the form you might not be taken to the confirmation page. Please check your emails and you should have received an automatic email confirming your entry. The email will be sent to the entrant. If you are paying and filling out the form for someone else, you will not receive the confirmation. You will, however, receive the paypal receipt. If you have not received any confirmation, please email me at entries@lincsboxevent.co.uk.

Personal details given below will only be used by LincsBOx Event for the purposes of communicating with you about the event. The personal details of the emergency contact will be retained for the event and will be deleted immediately after the event. We will never share you details with anyone else. Your name and email address will be retained for informing you of future events put on by us and will be deleted one year after the next LincsBOx Event.

Email address *
Payment method
Our preferred payment method is PayPal or credit/debit card using the buy now link on the payment & entry page
Length of Run
Entrant First Name *
Your answer
Entrant Last Name *
Your answer
Email Address of Person Paying Entry Fee *
Your answer
Email Address of Entrant *
Your answer
Telephone Number of Entrant *
Your answer
Post Code of Entrant *
Your answer
Postal Address of Entrant *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Telephone Number *
Your answer
Please can you let us know where you heard about the event?
Your answer
A copy of your responses will be emailed to the address you provided.
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