Name (required)

Surname (required)

Sex (required)
MaleFemale

Address

Your Email (required)

Date of Birth (dd/mm/yyy) (required)

ID Card Number (required)

Age on day of race (required)

Telephone (required)

Mobile No. (required)

Name of Club, if any (required)

Next of Kin Name (required)

Next of Kin Contact Number (required)

T-Shirt Size (required)

Terms and conditions

I declare that I will abide by the eligibility rules and competition rules of M.A.A.A. and St.Patrick’s A. C. I accept that the organisers, helpers & sponsors will not be liable for any loss, damage or injury I may sustain as a consequence of my participation in the St Patrick's AC road races. I declare that I have trained sufficiently for the event and that a medical doctor has monitored my physical condition over the past few months and that I am fit to run this race.I hereby declare that the above particulars are complete and correct.

I Accept These Terms and conditions

I would like to receive information about all activities and events organised by St. Patrick's AC
I would like to receive information and updates about races organised by St. Patrick's AC
I would like to receive information and updates about this race only