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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?
12.Are you a First Responder (Ambulance Driver/Fire Fighter/Surf Lifeguard/Police Officer/SAR etc?)
13.Are younger than 18 years of age on the race day?
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). Cost is $25 for Under 18's and First Responders. $50 for all other :)