Donate to our 2015 Christmas Appeal


Help put a smile on a child’s face this Christmas.

Cerebra 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.
OPTIONAL: Applicable for selected events if known
OPTIONAL: Applicable for selected events if known to help event allocate a suitable wave start time

Cerebra Running Vest / Cotton T-Shirt

Further Information

Registration Fee

We will contact you on receipt of this form to take payment. Registration fees will be non-refundable and must be paid at least one week after receiving our confirmation email. If payment is not received by this date, delegates forfeit their place.

Minimum Sponsorship

Terms and Conditions

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


Other ways to donate


By text

To donate by text send YULE12 and the amount you’d like to give to 70070. E.g. YULE12 £3 to 70070.

By phone

Call us on 01267 244221 to make a donation using your credit or debit card. Calls are charged at your normal network rate.

By post

Send a cheque made payable to Cerebra to Fundraising Department, Cerebra, Second Floor Offices, Lyric Building, King Street, Carmarthen, SA31 1BD.