Would you like an Epilepsy Action t-shirt, running vest or cycle jersey?
Please only complete this section if you wish to pledge to raise a minimum of £75.We can only provide one free item for each event.
I am at least 17 years of age. I am entering the event at my own risk. Any funds raised will be given solely to Epilepsy Action within six weeks of collection. To request a t-shirt or vest I commit to raise the minimum sponsorship pledge of £75. In order to confirm my place in this event, I will confirm my details with the race organisers.