Register As:
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Individual
Team
Team
(Required)
Create a new team
Join an existing team
Please choose to create or join team
Team Name
Choose your team
Select
Your Name
(Required)
First
Last
Your Email
(Required)
Enter Email
Confirm Email
Phone
(Required)
Would you like to receive information with a t-shirt in the post?
(Required)
Yes
No
T-shirt Size
S
M
L
XL
XXL
If you would like a t-shirt, please let us know your t-shirt size. Please note, t-shirts will be provided to anyone who has set up their fundraising page.
Your Address
(Required)
Street Address
Address Line 2
City
County / State / Region
Eircode
How did you hear about this event?
(Required)
Social media
Email
Outdoor advertising
Friends / Family
Galway Simon Website
Radio
Newspaper
From my company
From my club/school
Other
After the event, we would love to send you updates about the difference your support makes and our upcoming events. Please choose how you would like us to communicate with you:
(Required)
Email
Phone
SMS
Post
I do not wish to be contacted
Terms and Conditions
(Required)
I accept the Terms and Conditions
By registering to take part in the event, you are agreeing to abide by the terms and conditions and acknowledging a fundraising page will be created upon submission of the form. Please read
these
before completing your registration.
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