Registering

You and your team will race against time to reach the finish line and raise funds for emergency aid in Palestine.

Please enable JavaScript in your browser to complete this form.

A bit about you and contact details

Name

Phone

Date of birth

Address

Address Line 1

City

State / Province / Region

Postal Code

Team Gender

Please provide the details of someone we can contact in the unlikely event of accident or illness.

Emergency Name

Phone

Minimum fundraising goal: £500

Fundraising Target

Your Campaign Title

Your Story

Participant Waiver and Acknowledgement

I understand and accept that I am voluntarily taking part in the Crisis Aid event at my own risk and take full responsibility for any injury or loss that may occur, waiving all claims against Crisis Aid, its staff, trustees, and volunteers.