Event Registration Please complete the form below and kindly pay for the entry fee (£5).Your DetailsTitle MrMrsMissFirst Name *Surname *Address *Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiComorosCongo (Brazzaville)CongoCosta RicaCote d\'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepaNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabweCountryGender *MaleFemalAge *Email *Mobile No. *AMYA Membership No (AIMS ID) This is only for youth members of AMYA UK.Your FundraisingTarget What is your target for your fundraiser?Charity Please select one of the supported charities you will be fundraising for.MKA UKBarnardosBloodwiseBritish Red CrossCancer Research UKCash for KidsChildren 1stChildren's Hospice Association ScotlandCLIC SargentCumbria Community FoundationForget Me Not Children's HospiceGlasgow Children's Hospital CharityHumanity FirstMarie Curie Cancer CareMIND (West Cumbria)MK Dons SETNSPCCOxfamRoyal British LegionRoyal National Institute for BlindSave the ChildrenThe Archie FoundationThe Children's Trust (Tadworth)UNICEFWatford MencapFundraising Page Link Please enter the link of your online fundraising page (if applicable).Select Event *19 Aug - Lake District Half-Marathon (Adults)19 Aug - Lake District 5K (Children)19 Aug - Ride4Peace VerificationPlease enter any two digits *Example: 12This box is for spam protection - please leave it blank:
