2025 BRITISH 6HOURS ENDURANCE CHALLENGE | Federation of Inline Speed Skating

RACE ENTRY

Race Entry Type(Required)

Please select your entry type. Solo = 1 skater. Duo = 2 skaters. Team = 4 – 6 skaters.

British 6Hours Endurance Challenge 2024 – Solo – £40

British 6Hours Endurance Challenge 2024- Duo – £60

British 6Hours Endurance Challenge 2024 – Team – £100

British 6Hours Endurance Challenge 2025 – Assisted Wheelchair – £60

Team Name(Required)

TEAM MEMBER 1 DETAILS

Name(Required)

please enter the full name of team member 1.

Gender(Required)

Male

Female

Date of Birth(Required)

Is this person a Member of the Federation of Inline Speed Skating (FISS)?(Required)

Is this team member a wheelchair user?(Required)

Yes

CONTACT DETAILS

Email(Required)

Phone(Required)

TEAM MEMBER 2 DETAILS

Name(Required)

please enter the full name of team member 2

Gender(Required)

Male

Female

Date of Birth(Required)

Is this person a Member of the Federation of Inline Speed Skating (FISS)?(Required)

Is this team member a wheelchair user?(Required)

Yes

CONTACT DETAILS

Email(Required)

Phone(Required)

TEAM MEMBER 3 DETAILS

Name(Required)

please enter the full name of team member 3

Gender(Required)

Male

Female

Date of Birth(Required)

Is this person a Member of the Federation of Inline Speed Skating (FISS)?(Required)

Is this team member a wheelchair user?(Required)

Yes

CONTACT DETAILS

Email(Required)

Phone(Required)

Add another team member

Add team member 4

TEAM MEMBER 4 DETAILS

Name(Required)

please enter the full name of team member 4

Gender(Required)

Male

Female

Date of Birth(Required)

Is this person a Member of the Federation of Inline Speed Skating (FISS)?(Required)

Is this team member a wheelchair user?(Required)

Yes

CONTACT DETAILS

Email(Required)

Phone(Required)

Add another team member

Add team member 5

TEAM MEMBER 5 DETAILS

Name(Required)

please enter the full name of team member 5

Gender(Required)

Male

Female

Date of Birth(Required)

Is this person a Member of the Federation of Inline Speed Skating (FISS)?(Required)

CONTACT DETAILS

Email(Required)

Phone(Required)

Add another team member

Add team member 6

TEAM MEMBER 6 DETAILS

Name(Required)

please enter the full name of team member 6

Gender(Required)

Male

Female

Date of Birth(Required)

Is this person a Member of the Federation of Inline Speed Skating (FISS)?(Required)

CONTACT DETAILS

Email(Required)

Phone(Required)

ADDITIONAL INFORMATION – TO BE COMPLETED ON BEHALF OF THE TEAM

Medical Information

Please provide details of any allergies, medical conditions or disabilities/impairments here and any additional support which may be required, for any Members of the team. Please include Member names and any prescription medication if applicable

Media Consent

Photographs and videos will be taken and/or published of you or your child at the event. Such images/video will be used only in the appropriate manner by the federation/club and/or its approved photographers. Please indicate below any team members who do NOT with to be included in photographs or other media. If there is a Court or Child Protection Order in place, please email secretaryfiss@inlinespeed.co.uk with details.

Please provide details here of the team members who DO NOT wish to have photographs taken

LEAD INDIVIDUAL – PERSON COMPLETING THE FORM

These are the details of the individual completing the form on behalf of the team and assuming this responsibility. This individual will serve as lead contact for insurance purposes, to avoid collecting this information from each individual team member. This is also the paying individual to whom the prize money will be sent, to distribute amongst the team.

Name of person completing the form(Required)

Email(Required)

Please provide the email address of the person registering the team

Phone(Required)

Please provide the mobile number (where possible) for the individual completing the form on behalf of the team

Address(Required)

Please provide the mobile number (where possible) for the individual completing the form on behalf of the team.

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

DATA CONSENT

By submitting this form, you agree to the use of your data by the Club and Federation for the purposes of processing your registration and for the activities and records of the Federation of Inline Speed Skating and the Club, and for administering the event. You agree to bide by the Federation’s rules, regulations and policies. Your data will be used and processed in accordance with Data protection and GDPR legislation. It will not be provided to third parties and remains confidential.

PAYMENT

Total

Payment Method(Required)

American Express

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Payment due for entry to British 6Hours Endurance Challenge