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Chasewater Kilimanjaro Fun Run 2026

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Full Name

Email Address

Phone Number

Medical Conditions / Allergies

Emergency Contact Name

Emergency Contact Phone Number

Participant Type

A
B
C
D

Payments for entry

Please note, you must complete and submit this form and make the appropriate payment before your entry is guaranteed. Please include the full name of the participant you are paying for in the payment reference. If you are paying for multiple people at once please list their names in the notes section of the sumup payment page. The links for payments to entry will appear AFTER you have pressed 'submit' on this registration form.

Payment declaration

Terms and Conditions

The terms and conditions are available at https://drive.google.com/file/d/1LodSifl4hqGUjD9hBScFWP4D2KZ6U3IN/view?usp=sharing. Please read the Terms & Conditions before registering for the event. They contain important information about participation, safety, cancellation, liability, photography and other aspects of the event.

Optional communication about fundraising