The Gladiator Games, Saturday 13 September, Woodhall Park, Hertfordshire SG14 3NE

Please fill in the form below to claim your place at The Gladiator Games.

Please note that all information is strictly confidential and is taken for safety and insurance purposes only. Your data will not be shared with any third party without your permission.

This form is to be filled out by the competitor. If you have bought this as a gift, please pass this form on to the person you have purchased it for.

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* 1. What is your Groupon Voucher Code?

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* 2. What ticket type have you purchased?

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* 3. First Name

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* 4. Last Name

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* 5. Email Address

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* 6. Mobile Number

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* 7. Address Line 1

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* 8. Address Line 2

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* 9. City

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* 10. County

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* 11. Postcode

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* 12. Gender

Male

Female

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* 13. Date of Birth (please note that you must be 17 or over to compete)

Date / Time

Date

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* 14. Emergency Contact Name

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* 15. Emergency Contact Number

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* 16. Gladiator Events will contact you with further information about The Gladiator Games that you will be taking part in. If you wish to hear from us regarding future races and other event offers, please indicate this below

I would like to hear from The Gladiator Games with regard to future Gladiator Games races

I would like to hear from Gladiator Events with special offers for other events and activities