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Féileacáin (Stillbirth & Neonatal Death Support)

The Butterfly Run

Participant Name

Names of Other Participants

If you are registering more than one person, please enter their full names separated by commas, i.e.: John Smith, Jane Doe, etc.

Email Address *

Home Address

Phone Number *

Emergency Contact *

Please provide a name and number for an emergency contact, as well as their relation to you:

Registration Fee - Adult *

Registration Fee - Children

Any participants under the age of 18 must be registered as children, accompanied and supervised by an adult for the duration of the event. All children participating are the responsibility of a parent or guardian.

Ages of Children

If any children are registered to take part, please add their ages here.

Purchase a T-Shirt

T-shirts purchased can be picked up at the run location on the day.

Please Provide Your Required T-Shirt Sizes:

Please provide your desired t-shirt sizes below, we will do our best to accommodate. Kids T-Shirt Sizes: S (Age 5-6), M (Age 7-8), L (Age 9-11),XL (Age 12-14) Adult sizes: S, M, L, XL, XXL

Is there anything the event organiser need to be aware of to support your safe participation on the day? *

Participation Declaration *

I understand that participation in the Butterfly Run involves physical activity. I confirm that I am participating voluntarily and will take responsibility for deciding whether I am fit and able to participate. I agree to follow reasonable instructions given by event organisers and stewards.

I give Féileacáin the right to use any photographs taken in social media *

Baby's Name

If you wish, you may leave the name of the baby or babies you are running in memory of here.