Thank you for your interest in taking part in an event for Breast Cancer Now - we'd love to have you on board. To enquire about taking part, please fill in the form below and we will send you more information. Are you a student? Please visit our dedicated events section to find out more about the challenges you can be a part of. What type of event are you interested in? * SelectRunning/Obstacle Course/TriathlonCyclingUK Trek or WalkOverseas Trek or WalkSkydivingSwim When you join our Running Team/ Triathlon Team you will receive: A Breast Cancer Now running vest and iron-on letters A fundraising pack including sponsorship forms and fundraising ideas Training plans and running advice An invitation to join our Running Team Facebook group to chat to our other runners When you join our Cycling Team you will receive: A Breast Cancer Now cycling jersey A fundraising pack including sponsorship forms and fundraising ideas When you join our UK Trekking and Walking Team you will receive: A Breast Cancer Now T-shirt A fundraising pack including sponsorship forms and fundraising ideas When you join our Overseas Trekking and Walking Team you will receive: A Breast Cancer Now T-shirt A fundraising pack including sponsorship forms and fundraising ideas When you join our skydiving team you will receive: A free fundraising pack including sponsorship forms and ideas to help you reach your target More information about our skydiving places can be found here. When you join our team you will receive: A Breast Cancer Now T-shirt A fundraising pack including sponsorship forms and fundraising ideas What running event are you interested in? Select from belowBath Half Marathon 2019Berlin Marathon 2019The Big Half 2019Bournemouth Marathon Festival 2018Brighton Marathon 2019Cardiff Half Marathon 2018Edinburgh Marathon Festival 5k 2018Edinburgh Marathon Festival 10k 2018Edinburgh Marathon Festival Half Marathon 2018Edinburgh Marathon 2018Great North Run 2018Kew Gardens 10K 2018London Landmarks Half Marathon 2019New York City Marathon 2018Richmond Half Marathon 2018Richmond Marathon 2018Royal Parks Half Marathon 2018Tough Mudder London North 2018Tough Mudder HALF London North 2018Tough Mudder London South 2018Tough Mudder HALF London South 2018Tough Mudder London West 2018Tough Mudder HALF London West 2018Tough Mudder Midlands 2018Tough Mudder HALF Midlands 2018Tough Mudder North West 2018Tough Mudder HALF North West 2018Tough Mudder Scotland 2018Tough Mudder HALF Scotland 2018Tough Mudder South West 2018Tough Mudder HALF South West 2018Tough Mudder Yorkshire 2018Tough Mudder HALF Yorkshire 2018Vitality London 10,000 2018Other If other, please specify What cycling event are you interested in? SelectCoast to Coast Cycle 2018Land's End to John O'Groats 2018London to Brighton Cycle 2018London to Paris Cycle 2018Prudential RideLondon - Surrey100 2018Prudential RideLondon - Surrey46Other What UK walking/trekking event are you interested in? SelectAction Challenge Cotswold Way Challenge 2018Action Challenge Isle of Wight 2018Action Challenge Jurassic Coast Challenge 2018Action Challenge London 2 Brighton 2018Action Challenge South Coast Challenge 2018Action Challenge Thames Bridge Trek Challenge 2018Action Challenge Thames Path Challenge 2018Action Challenge Wye Valley Challenge 2018Ben Nevis Challenge 2018Just Walk 2018Snowdon By Night 2018Three Peaks Challenge 2018Walkwise Cotswolds Challenge 2018Walkwise Four Dales Challenge 2018Walkwise Gower Coastal Challenge 2018Walkwise South Devon Coastal Challenge 2018Other What overseas event are you interested in? Great Wall of China Trek 2018Kilimanjaro Summit Climb 2018Trek to Machu Picchu 2018Vietnam to Cambodia Cycle 2018Other What skydiving event are you interested in? * SelectBig Pink Jump JuneBig Pink Jump SeptemberSkydivingOther What swim are you interested in? - Select -Swim Serpentine 2018Other Title * SelectMrMrsMissMsDrProfessor First name * Surname * Date of birth Day Day12345678910111213141516171819202122232425262728293031 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Year Year19181919192019211922192319241925192619271928192919301931193219331934193519361937193819391940194119421943194419451946194719481949195019511952195319541955195619571958195919601961196219631964196519661967196819691970197119721973197419751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018 Email * Phone Number * Address Address 2 Address 3 Town Postcode If you are happy for us to contact you and follow you on twitter, please provide your twitter handle How did you hear about taking part in this event for Breast Cancer Now? * SelectFacebookTwitterBreast Cancer Now websiteBreast Cancer Now mailingFetcheveryone WebsiteRealbuzzRunning Bug websiteRunners World MagazineWomen's Running MagazineWomen's Running websiteOther Other - please specify Keeping in touch with Breast Cancer Now We’d like to tell you ways you can help further, including through donating, fundraising, campaigning and volunteering and send you updates on our research, breast health information, and our wider work to achieve our aims. If you already hear from us, we will continue to contact you in the same way. If you don’t already hear from us, please tick the box if you are happy to be contacted by: Keeping in touch Email Mobile messaging Do you have personal experience of breast cancer? If you select information about your health from the drop-down menu, we may use this to provide you with tailored breast health information, volunteering opportunities and to manage how we communicate with you. We may also use this information to better understand our supporters. By selecting the information relating to my health status, I agree to Breast Cancer Now using the information for the above purpose. SelectI currently have breast cancerI used to have/once had breast cancerA member of my family currently has breast cancerA member of my family used to have/once had breast cancerMy friend currently has breast cancerMy friend used to have/once had breast cancerI have lost someone to breast cancerI had a breast cancer scareI have professional experience of breast cancerI have no experience of breast cancerPrefer not to say How we use your information From time to time, we may contact you by telephone and post to keep you updated on our work and ways you can help. You can change the way you hear from us at any time by emailing us at supporterengagement@breastcancernow.org or calling us on 0333 20 70 300. To help us to work more efficiently, we may analyse your information to make sure you receive the most relevant communications, and to target our digital advertising. This may include using publicly available information. You can ask us to stop this at any time, by contacting us using the above contact details. You can read more about how we will use your information in our privacy policy.