Young Lives vs Cancer : Register

Joining Team The Cozens Cousins

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Email Address *

Password *

ADULTS DETAILS

Register for your Kid's Spring Challenge Stickers and Fundraiser.

First Name *

Last Name *

Email Address *

Password*

Mobile *

Would you like to hear from us?

Without you, we can’t fight tirelessly for children and young people facing cancer. We want to let you know about the difference you make to young cancer patients and their families, and other opportunities you have to get involved with fundraising, volunteering and our campaigns. If you are happy to receive this information, please let us know how you would prefer to hear from us.

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Postal Address *

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Address Line 1 *

Address Line 2

Town/City *

Postcode *

County

Country *

Children's Details

Child's name:

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How many children are taking part? *

Would you like a FREE sticker and fundraising pack? *

Why have you chosen to take part in the challenge?

Joining Team The Cozens Cousins

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