Name *

First Name

Last Name

Date of birth *

MM

DD

YYYY

Please tick the box to confirm the competition entrant has a disability (of any kind). *

Yes

I understand that this relates to completing 5km with a SUPER Celebrity *

Yes

To enter this competition, please check the box to confirm the entrant or entrant’s legal guardian has read & agrees to the Superhero Series event terms & conditions & Privacy Policy. *

Yes I agree to the Ts & Cs & Privacy Policy