2025 Great Run Series Clinical Complimentary Registration Form

Please complete the form below by 31st January 2025 to redeem your complimentary 2025 Great Run Series place for Cure Leukaemia

Please complete the form by Friday 31st January 2025.

Name*
First Last
Address*
Street Address Address Line 2 City County Post Code
Email*
Enter Email Confirm Email
Phone Number*
What hospital do work at?*
What is your job title?*
Please select the Great Run Event you are interested in*
I'm interested in being contacted about other running events:*
Please select the size of running top you would like:*
Minimum Fundraising*
Can you confirm that you will be able to raise the minimum amount in fundraising for your chosen event?
We would like to profile your fundraising. This may involve interviews with local media outlets. Are you happy for us to send your story out to the media?*
Consent
Click here to opt in to Cure Leukaemia Communications
Thank you for providing your contact details for communications about your challenge. Cure Leukaemia would love to keep you informed about our work and other ways you can support people living with blood cancer such as fundraising, events, volunteering, donating and campaigning. From time to time, we might also contact you by post to share updates on our work and ways you can help. We know that your personal information needs to be kept safe, and we never give or sell any personal data to other charities or organisations. For more information on how we use your data, see our Privacy Policy on our website.
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