Please note javascript is required for full website functionality.

Register for Fun Run

Fun Run Rego Form

Participant Details

Emergency Contact Person

Medical Details


Indemnity and parent Consent

I understand that this registration is accepted on the condition that financial responsibility incurred as a result of any accident or illness cannot be assumed by PYV.

I agree to abide by the decisions of the event conveners and act in a considerate manner towards others.

I have let the leaders know on this form of any condition likely to affect the safety or comfort of myself or other participants.

I understand that PYV is not responsible for children who attend the fun run. I understand that my child/ren are my responsibility at all times during the fun run day. If I send my child/ren with another family, then I accept that the parents in the other family are responsible for my child/ren, not PYV. I have informed the other parents that they are responsible for my child/ren.

I confirm that the details provided in this registration are accurate to the best of my ability. By sharing this information I confirm that the details can be relied upon by users of this information who have the listed participant’s in their care.