Barbados Tourism Marketing Inc.

Nature’s Discount location *

Last Name *

First Name *

Sex *

Date of Birth *

Email *

Address

Street Address Address Line 2 City State/Prov/Region Postal/Zip Country

Age on race day *

My T-Shirt Size *

Home Phone Number *

Cell Phone Number *

Gold Chall. (Fun Mile, 10K Run, Marathon) *

Silver Chall. 1 (Fun Mile, 10K Run, 1/2 Marathon) *

Silver Chall. 2 (Fun Mile, 5K Run, Marathon) *

Bronze Chall. (Fun Mile, 5K Run, 1/2 Marathon) *

Fun Mile *

5K Run *

10K Run *

Half Marathon *

Marathon *

5K Walk *

Walkers Reserve 5K Hike *

Emergency Contact Person (Name) *

Emergency Contact Person (Phone Number) *