Online Registration

Register for an event

Name (mandatory field)

Surname (mandatory field)

Address 1 (mandatory field)

Address 2 (mandatory field)

Town/City (mandatory field)

Postcode (mandatory field)

Date of Birth (mandatory field)

Email Address (mandatory field)

Contact number (mandatory field)

Alternative contact number

Tshirt Size (mandatory field)
Small Medium Large XLarge
Event that you wish to register for (mandatory field)
Adidas Silverstone Half Marathon- Minimum sponsorship £500 Community Fun Run Bupa 10,000k London- Minimum sponsorship £250
Will your company match or contribute to the amount you raise?

Do you have a particular reason for choosing Camp Simcha?

I commit to raising the minimum required amount required (and hopefully more) to secure my place in this event (please tick)

_{If you don’t wish to be contacted by Camp Simcha with regards to future events or receive marketing material please tick this box}