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Brighton Backyard Ultra Rego Form 2026
1.
Name of Athlete:
2.
Number of Laps you aspire to run:
3.
Personal Best for a Backyard Ultra (number of yards run)
4.
Phone Number:
5.
Date of Birth :
6.
Home Town
7.
Nationality:
8.
Email Address:
9.
Next of Kin (Name and Phone Number)
10.
Any relevant Medical Information: (Medical Conditions/Medications & Allergies)
11.
Are you a member of Leith Harriers Club?
Yes
12.
Are you a First Responder (Ambulance Driver/Fire Fighter/Surf Lifeguard/Police Officer/SAR etc?)
Yes
The 2026 Brighton Backyard Ultra is on the weekend (plus) - Saturday 19th of September 2026 - we will email you payment details in the next few days, Thanks again Scott (Race Director).