2025 Paris-Roubaix Challenge Registration Form

Name*
First Last
Address*
Street Address Address Line 2 City County Post Code
Date of Birth*
DD slash MM slash YYYY
Email*
Enter Email Confirm Email
Phone Number*
What distance would you be looking to take part in?*
Consent
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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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