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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.

Epilepsy Action will never swap, share or sell your details. For more information, read our privacy policy.

You can update your preferences at any time by contacting our supporter care team on 0113 210 8800 or emailing supportercare@epilepsy.org.uk