https://www.api.gsi-events.com/image/maxi_image.php?path=images//charity_images/MDC_Logo_2011.jpg&width=200&height=200

Muscular Dystrophy Campaign



 
If you apply today, the charity has until 5pm on Sun 22nd Mar 2015 to approve or decline your application.
I already have a my details account >>

Enter your information

Title:
First name:
Surname:

Address:


Town/City:

County:

Postcode:

Country:

Nationality:
Gender:


Date of Birth:


Telephone Number:


Mobile:


T Shirt Size:
Email address:

Confirm Email:

Set a password (6-10 chars)
This will allow you to update your information in the future:

Emergency contact information

Firstname:
Surname:
Telephone number:

Medical Information

Do you have a medical case which we should know about as part of your entry?
Yes
No

Entry Information

Charity entries for 2012 Kilomathon Scotland Autumn 2.6k are not currently open