The Long Run : Register

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First Name *

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Email Address *

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What is your t-shirt size?

The first 500 people to raise $250 get a FREE Long Run T-shirt!

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Your Postal Address*

If you win an event prize, we'll send it to you here!

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Thank you for showing you care by signing up for The Long Run.

Has your life been impacted by prostate cancer? *

Yes, I have directly experienced prostate cancer through my own diagnosis.
Yes, my family has been impacted by prostate cancer.
Yes, a friend has been impacted by prostate cancer.
No, but supporting men and families in my community is important to me.

Would you like to run in honour of someone?

I am running because of my own diagnosis, for all those impacted.
I am running for a patient/survivor.
I am running in memory of someone who has passed.

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