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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 - Child

Ages of Children

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

Please let us know where you are running: *

T-Shirt

T-shirts purchased before September 15th will be sent by post to the address provided. After this date we will no longer be able to post out t-shirts.

T-Shirt Size

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.