BreakthroughT1D : Register

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First Name *

Last Name *

Email Address *

Password*

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Date of birth *

Gender

If you are under 18, a parent or guardian will need to consent to you taking part in this challenge. Please give the full name of this person as well as a contact email address.

Guardian's Full Name *

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What is your connection to type 1 diabetes? *

Would you be happy to share your story of why you are taking part with JDRF if asked at a later date? *

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Keeping in touch

We'd love to keep you updated about our work to cure, treat and prevent type 1 diabetes, and how we support people with type 1. We'd also like to let you know how you can help by donating, volunteering or campaigning. We may stay in touch by post or phone if we have these details from you, but it keeps our costs down if we can use email, meaning that we can invest more money in ground breaking type 1 research.

Please let us know if you are happy for us to contact you by email *

Yes, I am happy for JDRF to contact me by email
No, I don't want to receive emails from JDRF except for One Walk emails

To change how we contact you, or to stop all contact from us, please phone 020 7713 2030 and ask for Supporter Care or email info@jdrf.org.uk

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We promise that we will treat you and your personal information with the utmost care and respect. Please read our supporter promise.

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Joining Team North Wales Pier-to-Pier walk

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Keeping in touch