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Cork Mini Marathon Registration Form (each participant should register individually)

PLEASE REGISTER WITH CORK MINI MARATHON ORGANISERS ALSO OR YOU WILL NOT BE ABLE TO TAKE PART

Title: (*)

First Name: (*)

Surname: (*)

Address Line 1: (*)

Address Line 2:

Address Line 3:

Town/City: (*)

County: (*)

Country (*):

Will you be setting up a fundraising page on mycharity.ie?

Phone: (*)

Email: (*)

Number of sponsorship cards needed (27 lines per card): (*)

* T-shirt Size:

How did you hear about the event:

Would you like us to keep you updated about the work of the Mercy?
Tick or untick the boxes as you wish.
I am happy to be kept updated by post
I am happy to be kept updated by phone
I am happy to be kept updated by SMS
I am happy to be kept updated by email

Click here for a
full list of our fundraising events

Recycle in aid of the Mercy find out more here

Click here for info on our survival challenges

Click here for more Mini Marathon info

Click here for afull list of our fundraising events

Click here for a
full list of our fundraising events