Brighton Marathon 2021 Registration Form

We ask all charity place runners to read and agree to our terms and conditions. You will be asked to agree to these at step 6 of 7 of the registration form.

Step 1 of 7

* = required field
Title*
Name*
First name Last name
Your date of birth*

DD
MM
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Contact details
Please enter your address
Start typing a postcode, street name or address.
Address*
Street Address Address Line 2 Town Postcode Country
Email*
Phone*

More about you
We'd love to find out a little more about you. This information helps us to understand more about our supporters so we're able to provide the best level of fundraising support. It will be stored securely and will not be shared, but please only provide what you are comfortable with sharing.
We would love to know more about why you have chosen to support Dementia UK*

By taking a Dementia UK place in this event we ask you to raise a minimum of £500 sponsorship (please note this does not include Gift Aid). Please tell us how much you think you could raise by taking part in this event*
Please enter a number greater than or equal to 0.
Please tell us a bit more about your fundraising plans to hit this pledge amount*

What's your vest size?*
Have you taken part in this event before?*
Matched giving
Matched Giving is a fantastic way to boost your fundraising.
Does your employer have a Matched Giving scheme?*
What's the name of your employer?*
How did you hear about Dementia UK?
I heard about Dementia UK through...*

Terms and conditions
I consent to Dementia UK using any images of me taken at the event for marketing, promotion of events and/or in fundraising materials. I understand that I can withdraw my consent at any time by contacting the Dementia UK team. I am aware that if I withdraw my consent after images have been published, whilst Dementia UK will make all reasonable efforts to action my request, they may not be able to recall printed publications.*
- Yes
- No
By signing this declaration you pledge to raise a minimum of £500 (excluding Gift Aid) for Dementia UK and to pay a non-refundable and non-transferable registration fee of £50 and agree to be bound by these terms and conditions linked below.*
- I agree to the terms and conditions and confirm I am over 18 years of age
Read the Terms and Conditions

It’s only with support from kind people like you that we can be there for families living with dementia across the UK. We would like to keep in touch and update you with the latest behind the scenes news, including the incredible difference our specialist Admiral Nurses make, and how you can help us to continue our long term work by fundraising and volunteering for us.
- Yes, I'd like to receive email updates
- Yes, I'd be happy to receive updates by phone
- Yes, I'd like to receive text message updates
- No contact via post
Email*
Phone*
If you would like to change how you are contacted by us, simply contact our Supporter care team on 0300 365 5500 or email at supportercare@dementiauk.org
For further information about how we protect and use your data please see our privacy policy at www.dementiauk.org/privacypolicy.
Email
This field is for validation purposes and should be left unchanged.

Brighton Marathon 2021 Registration Form

Step 1 of 7

Contact details

More about you

Matched giving

How did you hear about Dementia UK?

Terms and conditions