Register for the 5K Run/Walk below

* 1. What is your first name?

* 2. What is your last name?

* 4. What is your gender?

* 5. What age will you be on June 2nd? (the evening of the 5K Fun Run/Walk)

* 6. What size of t-shirt would you like?

* 7. Are you taking part in Couch to 5K 2017?

* 8. Have you taken part in one of our previous Couch to 5K programmes?

* 9. What is your mobile number? (please do not enter any spaces ie 0871234567)

* 10. What is your email address?

* 11. What Athletics Club do you belong to (write none if not applicable)

* 12. Thank you for registering for the 5K Fun Run/Walk, we will be in touch closer to the time with further details.  In the meantime please feel free to contact us on 0868420203 if you have any questions.  Please register children separately.