Own Place Registration Form

So, you have secured your own place in an event. That’s great! You can still fundraise for Cerebra and receive the same support as if you were running in one of our charity places.

Please complete the form below with your details. Once we have received your completed registration form, we will send you a fundraising pack with everything you need to help raise sponsorship money and a Cerebra top to wear for the event.

Thank you for supporting Cerebra!

Own Place Event Form

Event Details

Personal Details

Contact Details

Cerebra Running Vest / Cotton T-Shirt

Further Information

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