Brighton Half Marathon 2019: Golden Bond registration Thanks for your interest in running the Brighton Half Marathon for Bloodwise. To register for one of our charity places, please fill in your details below. We'll be in touch with you soon to confirm. Read our terms and conditions. Entry fee * £1 My details First Name * Last Name * Date of Birth * Day Day12345678910111213141516171819202122232425262728293031 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Year Email * Phone Number * Street Address * Street Address Line 2 Town/City * County * Post Code * Country * AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo, Republic of theCongo, The Democratic Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly See (Vatican City State)HondurasHong KongHungaryIcelandIndiaIndonesiaIran, Islamic Republic ofIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosavaKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedonia, Republic ofMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States ofMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian Territory, OccupiedPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwanTajikistanTanzania, United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Please select your T-shirt size * - Select -Adult SmallAdult MediumAdult LargeAdult Extra Large Have you been affected by a blood cancer? * - Select -I've recently been diagnosed with blood cancerI'm living with blood cancerI'm in remission from blood cancerI'm a family member of someone who has/had itI'm a friend of someone who has/had itA staff member where I work was diagnosedI've lost someone to blood cancerI'm a health professional working with blood cancerI'm concerned about blood cancerI have no particular connection Which blood cancer? - None -Childhood acute myeloid leukaemiaChildhood acute lymphoblastic leukaemiaAcute lymphoblastic leukaemia (ALL)Acute myeloid leukaemia (AML)Acute promyelocytic leukaemia (APL)Chronic lymphocytic leukaemia (CLL)Chronic myeloid leukaemia (CML)Chronic myelomonocytic leukaemia (CMML)Hairy cell leukaemia (HCL)T-cell acute lymphoblastic leukaemia (T-ALL)Large granular lymphocytic leukaemia (LGL)Hodgkin lymphomaNon-Hodgkin lymphoma - low gradeNon-Hodgkin lymphoma - high gradeBurkitt lymphomaWaldenstrom macroglobulinaemiaMyelodysplastic syndromes (MDS)Myeloproliferative neoplasms (MPN)Monoclonal gammopathy of unknown significance (MGUS)Leukaemia - type unknownLymphoma - type unknownMyeloma - type unknown Occasionally Bloodwise may want to share the story of why you're taking part in this event, to help publicise the vital work we do. We'll always seek your permission to do this by email or phone before releasing your story. Please indicate below if you'd be happy to share your story. * Yes, I'd like to share my storyNo, I don't want to share my story Tell us your story In ticking these boxes, you're agreeing to the following things: * I agree to the terms and conditions of this eventI agree I am of the age required to participate in this eventI / We agree to actively fundraise on behalf of Bloodwise As a supporter, you’re at the heart of everything we do. We’d love to keep you updated about our exciting work and the ways you can help, including campaigns and events that you might be interested in. We promise to respect your privacy and we will never sell or swap your details. I am happy for Bloodwise to contact me by: Email YesNoUnknown Phone YesNoUnknown Post YesNoUnknown SMS YesNoUnknown