Charity Place Registration Form

To register for one of our charity places please complete the application form below and pay your registration fee. On receipt of these we will then register you in your chosen event.

Places will be allocated on a first-received basis. For group bookings or company teams, please contact Cecilia Bufton on 01267 242586 or email ceciliab@cerebra.org.uk

Thank you for supporting Cerebra!

Charity Place Registration Form

Personal Details

Contact Details

Race Details

Some of this information has been listed for the purpose of registering you on to one of our reserved places with the event. If they are not relevant for the type of event you are taking part in please leave blank. Any questions, please get in touch.
Only for half and full marathons if known
Only for half and full marathons if known

Cerebra Running Vest / Cotton T-Shirt

Further Information

We will contact you on receipt of this form to take payment. Registration fees will be non-refundable and must be paid at least three weeks prior to the event. If payment is not received by this date, delegates forfeit their place.

Minimum Pledge

Terms and Conditions

Please indicate that you have read and accept the Cerebra data protection below:
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