Your Details

Participant First Name *

Participant Last Name

Date of Birth *

T-shirt Size *

Email *

Phone Number

Your Address

Address Line 1 *

Address Line 2

City/Town *

Post Code *

Emergency Contact

Next of Kin's Full Name *

Relationship

Phone Number *

Confirmation

1. You must be able to ﬁnish the run in 2 hours or under. 2. Runners must compete on foot. 3. You understand that you are participating entirely at your own risk. 4. The East London Mosque Trust (ELMT), its sponsors and suppliers, including local authorities and facilitating agencies will not be liable for any loss/damage, illness or injury whatsoever directly or indirectly, occasioned by or resulting from the negligence, wrongful act or any other cause of the runner. 5. The ELMT reserves the right at its absolute discretion to alter the date of the event or to change the published course as deemed necessary at any time and to alter without prior notice the contents of each race pack and event media partners. I also hereby give permission to pass my/our details to my chosen charity and to use my/our name, quotes, video footage and photographic likeness for marketing and promotional purposes. I also agree to the full Terms and Conditions as displayed on the event website.