Race Calendar

Bath 50 Ultra Challenge

About You

First Name:

Last Name:

Date Of Birth:

Gender:

Contact Details

Contact Telephone:

Email:

Address:

Address Line 1:

Address Line 2:

City:

Postcode:

Entry Details

Entry Type:

Affiliated Club:

Registration Number:

This club name has not been recognised. Only proceed if you are sure the name is correct and that your club is affiliated to your sport’s governing body.

Contact in Case of Emergency:

Phone in Case of Emergency:

Additional Information:

Team Member

First Name:

Last Name:

Date Of Birth:

Gender:

Charitable Donations

Ultra Challenge is fundraising for the charities listed below. If you would like to make an additional donation to any of these charities, please enter an amount next to the chosen charity.

Donation to Macmillan Cancer Support :

Donation to Children with Cancer UK :

Donation to Campaign Against Living Miserably (CALM):

Donation to WWF (World Wide Fund for Nature):

Donation to Young Lives vs Cancer:

Donation to Alzheimer’s Society:

Donation to Breast Cancer Now:

Donation to Dementia UK:

Donation to Parkinson’s UK:

Donation to Prostate Cancer UK:

Donation to British Heart Foundation:

Donation to Cancer Research UK:

Donation to Mind:

Donation to Great Ormond Street Hospital Charity :

Donation to Motor Neurone Disease Association (MNDA):

Please treat my donation(s) as a Gift Aid donation.

I confirm I have paid or will pay an amount of Income Tax and/or Capital Gains Tax for the current tax year (6 April to 5 April) that is at least equal to the amount of tax that all the charities and Community Amateur Sports Clubs (CASCs) that I donate to will reclaim on my gifts for the current tax year. I understand that other taxes such as VAT and Council Tax do not qualify. I understand the charity will reclaim 25p of tax on every £1 that I have given.

About Entrant _1

First Name:

Last Name:

Date Of Birth:

Gender:

Contact Details

Contact Telephone:

Email:

Address:

Address Line 1:

Address Line 2:

City:

Postcode:

Entry Details

Entry Type:

Affiliated Club:

Registration Number:

This club name has not been recognised. Only proceed if you are sure the name is correct and that your club is affiliated to your sport’s governing body.

Contact in Case of Emergency:

Phone in Case of Emergency:

Additional Information:

Team Member

First Name:

Last Name:

Date Of Birth:

Gender: