My MS Marathon registration form

Title *

Name *

First

Last

Parent full name (if participant is under the age of 16)

First

Last

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Instagram handle

E.g. @multiplesclerosis_uk

What is your connection to MS-UK?

Please specify your connection

Tell us a bit about yourself and why you are taking part in My MS Marathon *

Which challenge would you like to do most?

What other challenge will you be doing?

What are the specifics of your challenge?

Such as completing 26 levels in your favourite game, baking 26 cupcakes with different decorations, walking for 26 minutes over 26 days, etc.

Did you take part in My MS Marathon 2022? *

Yes
No

Where did you hear about My MS Marathon?

Please specify where

Would you like to sign up to MS-UK’s e-newsletter to stay up to date with the latest information about the charity and new fundraising opportunities?

Yes please

Terms and conditions *

I agree to the terms and conditions

All participants that raise £100 (not including Gift Aid) will receive an exclusive MS-UK My MS Marathon 2023 medal and certificate on completion - Any fundraising pages must be set up solely for MS-UK - All fundraising for this event must reach MS-UK by Friday 11 August 2023 - Any photographs or videos that are sent to MS-UK may be used on our website and social media channels for publicity purposes - By participating in My MS Marathon you do so at your own risk and MS-UK cannot take responsibility for anything that may happen outside our control - Participants under the age of 16 must be entered by a parent/guardian and must be accompanied by a parent/guardian whilst taking part in the event - All participants must adhere to any local COVID-19 restrictions that may be in place in their area