Register your interest

Thanks for your interest! Please use this application form to apply for a National Eczema Society place in the Great Manchester Run 2025.

First Name *

Last Name *

Date Of Birth *

Please confirm you are you applying for a National Eczema Society place in the Great Manchester Run 2025? *

Yes No

Please confirm you’re confident of achieving the minimum fundraising target of �300? *

Yes No

Email *

Phone Number *

Address Line One *

Address Line Two

Town/City *

County

Postcode *

Country *

Why have you chosen to support National Eczema Society? Please include information about your own personal connections to eczema. *

Have you taken part in a running event before? *

Yes No

If yes, what event(s) was it and what was your time?

Before applying, are you fully confident you can reach the �300 fundraising target? *

Yes No

Please provide an outline, or some ideas, for how you will fundraise to meet your target. *

Any other comments you'd like to share?

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