Sign up today for 100K London to Brighton 2018 1 Personal Details 2 Ticket Information 3 Event Information 4 Summary 5 Payment Title * Select... Mr Miss Ms Mrs Dr Professor Reverend First name * Surname * Postcode * Search Select address Select... Address line 1 * Address line 2 Town/city * County Country * Email address * Mobile number * Home number Date of birth * Height (cm) * Weight (kg) * Dietary requirements It is for your own safety that we find out as much as possible about your medical history to ensure that you can cope with the rigours of the challenge. By stating you have a condition, you'll be sent a medical questionnaire to complete and return * I have a medical condition that the organisers need to be aware of I do not have a medical condition that the organisers need to be aware of Emergency contact name * Emergency contact number * Emergency contact relationship * Your contact preferences Keeping you updated on our work is easy by email, post, phone and/or text. If you’re happy for us to contact you in this way, tick the boxes below. By ticking you are giving your consent for Blind Veterans UK and Blind Veterans Trading Ltd to contact you with updates about our work, including where your donation has helped, our upcoming events and our fundraising activity. If you decide at any time in the future that you’d prefer not to receive further contact from us via post, telephone or email, please call us on 0300 111 2233. Please tick if you’re happy to be contacted by email. Please tick if you’re happy to be contacted by post. Please tick if you’re happy to be contacted by phone. Please tick if you’re happy to be contacted by text. Our promise We promise that any information you give us will be used by Blind Veterans UK and/or Blind Veterans Trading Ltd only.