guest runners - ice form (to be completed by guest runners/trial members)

Date of Run

Please select the date you are planning to attend a Dawlish Coasters run

MM

DD

YYYY

Name

First Name

Last Name

Date of birth

MM

DD

YYYY

Email

Your Phone Number

Emergency Contact (Name)

First Name

Last Name

Emergency Contact Phone Number

Allergies/Injuries

Please provide any details which may be of importance in the case of an emergency.

Please see our privacy policy for details on how your personal information will be stored.