"
"
Skip to content
Test page
"
*
" indicates required fields
Register your interest to take part here:
*
I would like a charity place in the Superhero Triathlon and commit to a £250 fundraising target and £10 registration fee per person
I already have a place in the Superhero Triathlon and want to join Team SIA
Are you participating as an individual or as part of a team?
*
As an indivdual
As part of a team
Please tick the box to confirm you are aware all solo entrants must consider themselves to have a disability of any kind
*
I am aware that to take place as an individual I need to consider I have a disability
Please tick the box to confirm you are aware that to take part at least one of your team members must consider themselves to have a disability of any kind
*
I am aware that at least one team member needs to consider they have a disability
Name
*
If you are entering as part of a team please ensure that all members of the team register using this form.
First
Last
Address
*
Street address
Town/City
County
Postcode
Email
*
How would you prefer to be contacted?
*
By Email
Over the phone
In writing
Any of the above/no preference
What is your team called?
*
This will help us identify other members of your team.
What made you want to take on a challenge for SIA?
*
If you're currently employed does your employer:
*
Assist staff in fundraising activities and challenges
Offer matched-funding
I am not sure if they allow staff fundraising, or if they offer matched-funding schemes
No they do not allow staff fundraising or offer matched-funding schemes
Not applicable
If you are happy to, please tell us who your employer is below:
We will send you a fundraising pack. Would you prefer:
*
A fundraising pack to be sent to you in the post?
An electronic version to be emailed to you?
Both?
Your welcome pack includes a free T-shirt. What size would you like?
*
Please note all sizing is unisex
Extra Small
Small
Medium
Large
Extra Large
XX Large
Fitness Declaration
*
By signing this declaration to participate in this event, I acknowledge and understand that I am participating at my own risk. I agree that - to the best of my knowledge – my general state of health and fitness is good enough to allow me to compete in this event.
I agree to the above.
General Terms and Conditions of Participation
*
In taking part in this event on behalf of SIA, I give permission for SIA to use any photographs, videos or testimonials taken throughout the course of the event to be used to further raise funds or awareness for the charity throughout all media channels.
I agree to the terms and conditions of participation
Registration fee for Superhero Triathlon
*
Price:
Total
Credit Card
Are you happy for us to contact you in the future?
*
SIA would like to keep you informed about our campaigning and services, appeals and others ways you can support our work. Your support and involvement with SIA helps us to empower spinal cord injured (SCI) people and their families to live fulfilled lives.
Yes please
No thank you
Name
This field is for validation purposes and should be left unchanged.
Δ
Spinal Injuires Association homepage
Support line
0800 980 0501
View cart
My account
Search
Search
Toggle navigation
Donate
today
Get Support
Find support for you
Your local team
Your physical health
Your mental health
Fighting your corner
Healthcare to your door
Connect to other support
Get Involved
Sign up and join
Our 50th year
Fundraising and events
Campaigns
Jobs
Volunteer with us
Shop
Get Informed
Living with spinal cord injury
Cauda equina syndrome
Coronavirus advice
Forward magazine
Healthcare professionals
Continuing healthcare guidance
About us
What we do
Our 2030 strategy
Our trustees
Our leadership team
Our vice presidents
Meet our ambassadors
Reports and publications
Our policies
Contact us
News
Latest news
Our stories
Media enquiries