Run Sutton Park Sign Up - Midland Mencap

How did you hear about this event? * There will be a photographer at this event. Therefore, are we allowed to use any photos of you with your details, as part of any future Midland Mencap publications, promotions and advertising? * Yes and you can use them for publications, promotions, and advertisingYes, but you can not use them for publications, promotions, and advertisingNo

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Emergency contact details

In case of an emergency on the day please provide the details of your emergency contact/next of kin.

Name * Relation to you *

Contact Number *

Payment

Select a payment method and distance you are running below, then click payment. Once submitted you will be redirected to the secure payment merchant selected.

Payment method * Credit/Debit Card

Choose distance * 1km - £55km - £1210km - £15

Would you like to make a donation to Midland Mencap? (£) Yes

Enter the amount you would like to donate (£)

Participants Information

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Emergency contact details

Payment