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Sign up for the Bromsgrove Fun Run 2019

We're delighted you'll be joining us for our Bromsgrove & District Branch's Fun Run on Sunday 12 May 2019!

To register please fill in your details below. We'll be in touch with you soon to confirm.

By completing this form you agree to having your details passed on to the event organiser, Nicole at our Bromsgrove & District Branch.

Read our terms and conditions.

How many people are you registering? *

My details

Entry fee *

£15

First name *

Last name *

Gender

Birth Date

Day

Month

Year

Email *

Mobile number *

Please enter your address *

If you live in the UK please enter your postcode. If your address is outside the UK, or does not appear upon lookup please enter it manually.

Postcode

E.g. WC1R 4TH (inc. space)

Look up address

Manually enter address

Street Address *

Street Address Line 2

Town/City *

County

Post Code *

Please select your T-shirt size *

To qualify for a brand new Bloodwise running top then you'll need to set up your online fundraising page and have at least £20 in donations on there.

Which distance would you like to run? *

Have you been affected by a blood cancer?

Which blood cancer?

Where did you hear about this event?

In ticking these boxes, you're agreeing to the following things: *

I agree to the terms and conditions of this event

I 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. Our Bromsgrove and District Branch would like to keep you updated with their upcoming events, as well.

We promise to respect your privacy and we will never sell or swap your details.

Email

Phone

Post

SMS

You can change how we communicate with you at any time. Contact our Supporter Relations Team on 0808 169 5155 or update your preferences online

Participant two

Entry fee *

£15

Is this an adult or child you are registering? *

Adult

Child

First Name *

Last Name *

Birth Date *

Day

Month

Year

Gender

Email

Phone Number

Street Address

Street Address Line 2

City

Postal Code

Please specify their t-shirt size *

Which distance would they like to run? *

Please note children under 16 cannot register for the 10km run

Participant three

Entry fee *

£15

Is this an adult or child you are registering? *

Adult

Child

First Name *

Last Name *

Birth Date *

Day

Month

Year

Gender

Email

Phone Number

Street Address

Street Address Line 2

City

Postal Code

Please specify their t-shirt size *

Which distance would they like to run? *

Please note children under 16 cannot register for the 10km run

Participant four

Entry fee *

£15

Is this an adult or child you are registering? *

Adult

Child

First Name *

Last Name *

Birth Date *

Day

Month

Year

Gender

Email

Phone Number

Street Address

Street Address Line 2

City

Postal Code

Please specify their t-shirt size *

Which distance would they like to run? *

Please note children under 16 cannot register for the 10km run

Leave this field blank

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Get in touch

Blood cancer support: 0808 2080 888

Donations and fundraising: 0808 169 5155

Head office: 0207 504 2200

Media enquiries: 0207 269 9019

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Bloodwise, 39-40 Eagle Street, London, WC1R 4TH. A company limited by guarantee 738089 (registered in England and Wales). Registered charity 216032 (England and Wales) SCO37529 (Scotland) © 2018