Register your interest with The National Brain Appeal

Please ensure that you complete this enquiry form in full to register your interest with The National Brain Appeal, ensuring that all questions marked with a '*' are answered.

Please take care when completing this form as this information will be provided to The National Brain Appeal as part of their decision-making process. If your application is successful, you will receive an email notification to confirm your place is secure, with more information on how to complete your registration being provided in Spring 2020.

 *
 *
 *
 *
 *
 *


Participants must be 18 years old on race day

 *
 *
 *
 *
 *
 *
 *
 *
 *
 *