Survivor's form

We, the committee for Relay For Life Wexford would like to extend a warm welcome to all our new and returning survivors for our 2024 event. 

Tick this box if you are registering on behalf of a Survivor under the age of 16.

We are committed to preserving the environment for current and future generations, and would ask participants to re-use t-shirts from previous Relay for Life events, where possible, to reduce waste.

In the instance that we are able to provide Survivor t-shirts, they will be available to collect at a later date. If you would be interested in collecting an Survivor t-shirt, please select your size below.

Stay in touch

The information you provide will be shared with your Relay event committee and used to process your Survivor registration and to contact you with important updates about your event and fundraising.

Please tick below if you are also happy to receive occasional emails about our work, services and other ways you can support.