European Congress of Immunology 5km in Dublin - Breakthrough Cancer ResearchBreakthrough Cancer Research

5KM Run Registration Form

Event Details:

Date: September 3rd, 2024
Time: 06:30am
Location: Dublin City (Starting point: meeting at the Convention Center)
Distance: 5KM

Participant Information

Name(Required)

First Last

Email(Required)

Phone(Required)

Disclaimer Agreement(Required)

I acknowledge that participation in this 5KM run is entirely voluntary and at my own risk. I understand that this run is an informal gathering of conference attendees and is not an organised event by any official body. By ticking this box, I accept the following: I am participating in the run at my own risk and responsibility. I acknowledge that neither the Irish Society for Immunology, the European Federation of Immunological Societies, the Organising Secretariat, Breakthrough Cancer Research, nor any other organisation or individual involved bears any responsibility for damage, loss, or injury that may occur during or as a result of my participation in the run. I agree to follow the instructions provided by the organisers and to conduct myself in a safe and responsible manner. I understand that I will be kept up to date with any changes in plans regarding the run.

Consent for updates:(Required)

I agree to receive updates and notifications regarding the run via email or phone.

I would like to receive the Breakthrough Cancer Research monthly email newsletter.

We will not use your details from this form, however if you would like to receive our monthly emailed newsletter, please tick the box.

Donation to Breakthrough Cancer Research

We kindly invite you to consider making a donation to support the critical cancer research that we fund. We are deeply grateful for your generosity and support in helping us continue our vital work.

Your Donation

Credit Card

Hidden

Post Custom Field

Phone

This field is for validation purposes and should be left unchanged.

Participant Information

Donation to Breakthrough Cancer Research

Get in touch

Send us a message