Full Name *

Email *

Age *

Gender *

Where Will You Be Training? *

What Is Your Main Goal? *

If You Were Referred By A Friend Please Tell Us Their Name?

Are You A New Member Of The Affiliate? *

Your Charity of Choice*

I agree to the Waiver of Liability

*As part of Green Friday we are donating €15 from every sign up between 22nd Nov and 14th Dec to charity. The top two charities as chosen by you will receive an equal split of all monies.