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Event date

First name

Last name

Date of birth (optional)

Email address

Address line 1

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Home telephone number (optional)

Mobile telephone number (optional)

Best time of day to contact you (optional)

Please tell us why you would like to join our team of Curestarters for Worldwide Cancer Research. (We will never share your story without asking for your permission first) (optional)

As a thank you, we give all our event participants a free Worldwide Cancer Research running t-shirt or vest. Please select your preference: (optional)

Running t-shirt
Vest

Please tell us how you plan to fundraise and how we can support you with your plans

Please tell us how much you hope to raise through your participation in this event

Companies often operate a matched giving scheme, where they fully or partially match the amount that an employee raises for charity. Do you know if your employer will match any amount you raise?

We’ll share how your support starts cancer cures, our latest research breakthroughs, and other ways you can help. (optional)

Yes, please keep in touch via email
Yes, please keep in touch via phone
Yes, please keep in touch via text

For more information about how we use your personal data, please see our privacy policy.

Please read our event terms and conditions before submitting this form.

I agree with the Terms and Conditions and understand that by submitting this form, I agree to forward any sponsorship money raised through my participation in the event to Worldwide Cancer Research.

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