Couch to £5K Challenge for Genetic Disease Research
Thank you for saying YES to the Couch to £5K challenge!

Don't forget to set up your Just Giving page (https://www.justgiving.com/campaign/couch-to-5K-2022) to start your fundraising.

Once you have received your first donation, we'll send you one of our limited fundraising t-shirts - these will be sent on a first come, first served basis.
Sign in to Google to save your progress. Learn more
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Last Name *
Do you have a preferred name? If so please type in "other" *
E.g. Using a middle name, John short for Jonathan.
Email Address *
Please provide an email address that you check regularly, it doesn't matter whether it's personal or work. Perhaps one that you won't mind checking out of hours!
Mobile telephone number *
Our primary form of contact will be through email. However in a rare case that we need to reach you urgently, we may call you.
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