Sign up to the Sutton Park Challenge 1km, 5km or 10km 2021!

Sign up to the Sutton Park Challenge 1km, 5km or 10km 2021!

Join #TeamMidlandMencap on Saturday 2nd October 2021 in Sutton Park. You can decide whether you'd like to run, jog or walk, 1km, 5km or 10km. Please fill in the form below.

  • Your Details
  • More information
  • Payment

Your details

Distance Running * 1km5km10km

Firstname *

Last name *

Date of birth * (Please use the following format: DD/MM/YYYY)

Phone number *

Email address *

Street Address *

Region

City *

Postcode *

We'd love to keep you updated on what we're up to, our fundraising activity and how you can get involved. Please tick if you're happy for us to contact you via:

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More information

How did you hear about this event? *

Do you have a link to learning disability? *

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 Mencap publications, promotions and advertising? *

YesNo

We'd love to hear more about why you're supporting Midland Mencap today

Would you be happy to share your story with our press team? *

YesNo

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.

Choose distance *

1km - £55km - £1210km - £15