Tough Mudder 2018 sign up now Tough Mudder 2018 Personal details TitlePlease select... Mr Mrs Ms Miss Mx First Name Last Name Phone Whichever is your preferred number Email Date of Birth Your meningitis experiencePlease select... Personal experience Family experience Friend/Neighbour experience Nursery experience Pupil/Student experience Employee experience Professional experience No experience Are you willing to share your story with the media and help us to raise awareness about meningitis, the work of Meningitis Now and your involvement?Please select... Yes No If yes and are happy to give some brief details, please write below Address Street address Town County Postcode Payment details Payment details - *Special offer*Single registration £25 Event details Select your 2018 event:Please select... Saturday 28 April 2018 - London West Weekend 1 Saturday 5 May 2018 - London West Weekend 2 Saturday 6 May 2018 - London West Weekend 2 Saturday 12 May 2018 - Midlands Saturday 19 May 2018 - Midlands Sunday 20 May 2018 - Midlands Saturday 16 June 2018 - Scotland Sunday 17 June 2018 - Scotland Saturday 7 July 2018 - London North Sunday 8 July 2018 - London North Saturday 28 July 2018 - Yorkshire Sunday 29 July 2018 - Yorkshire Saturday 18 August 2018 - South West Sunday 19 August 2018 - South West Saturday 8 September 2018 - North West Sunday 9 September 2018 - North West Saturday 22 September 2018 - London South Weekend 1 Saturday 29 September 2018 - London South Weekend 2 Sunday 30 September 2018 - London South Weekend 2 How did you hear about this eventPlease select... Leaflet Facebook/Twitter Local press Search engine Meningitis Now website Email Previous participant Other Other - how I heard Why are you interested in this event?Please select... In memory In celebration Other Other - Please specify the reason If you are taking part in memory or in celebration, what is your relationship with the person? Please outline your fundraising plans and ideas the raise the minimum sponsorship (£150) Please give as much detail as possible Running Top details Please select the size vest you would likePlease select... Small Medium Large X-Large What name would you like on your vest? (max 10 characters) Emergency contact details Emergency contact name Emergency contact number Emergency contact relationship to you Keep in touch Please let us know what you'd like to hear about Get informed: Meningitis informationGet support: How we support those affected by meningitisGet involved: How you can support usAll the aboveI don't want to hear from youMeningitis Information:- includes updates about the impact of the disease, vaccine programmes, our campaigns, and media activity...... How we support those affected:- includes our Family Days, Believe & Achieve weekends, Forever Days, invitations to some key events organised by us e.g. Christmas Carol Concerts...... How you can support us:- includes information about donating your time through volunteering or organising fundraising activities, how to get involved by taking part in an event such as Three Peaks Challenge, or our Five Valleys Walk and how you can donate to us through our cash appeals, or by purchasing merchandise e.g. Christmas cards And please let us know how we can contact youEmailPostTelephoneSMS We will only communicate with you about the aspect(s) of our work you’ve requested, in the way(s) that you have requested. We may also contact you for administrative purposes or to fulfil a service or request. We never sell our supporter data and only share this with suppliers helping us in our cause. To find out more about how we process personal data and respect your rights, please visit our privacy policy. By submitting you agree to the Terms and Conditions belowI agree Terms and conditions Please have your credit, debit card or PayPal login ready Contact Information