Fun run with Children - Tenwek Hospital Heart Run

First Name

ID / Passport No

Email

Gender

MaleFemale

Child 1 full name

Child 2 (registered under parent/guardian above)

Child 2 gender

MaleFemale

Child 3 full name

Child 4 (registered under parent/guardian above)

Child 4 gender

MaleFemale

Child 5 full name

Parent/Guardian consent

I am the parent/guardian of the children listed and consent to Tenwek Hospital processing their details for the Heart Run.

Amount due: KES 0 (children under 13 run free)

The ID/passport above must be the parent/guardian’s.

Adults: KES 1,200 for any category. Children under 13 run free when registered by a parent/guardian.