Sign up to Swim for Macmillan

Please tick to confirm you have already secured your own place in the swim, received confirmation of this and wish to use this place to join Team Macmillan:* !

Please select the event you are participating in:

Please select* << select >> Great London Swim Great North Swim Great Scottish Swim Great East Swim Great Manchester Swim Monster Swim Yorkshire Swimming Festival Big Thames Open Water Swims  

Title* << select >> Mr Miss Ms Mrs Dr Professor Other  

(Title other)

First name*  

Last name*  

Email*    

Date of birth* (dd/mm/yyyy)    

Address 1*  

Address 2

Town/City*  

County

Postcode*  

Please select* << select >> email Post  

Please select << select >> Previously enquired about a Macmillan event Previously participated in a Macmillan event Family/Friend Macmillan website Macmillan Events Calendar Macmillan News magazine Metro advert Guardian adverts Macmillan Team Talk magazine Macmillan email newsletter Macmillan Staff From Boots Google search engine Ask Jeeves search engine Dogpile search engine Yahoo search engine Other website/search engine not listed Unknown Other(please specify)

(other)

Macmillan Cancer Support and our trading companies would like to hold your details in order to contact you about our fundraising, campaigning and services for people affected by cancer.

If you do not want us to contact you about other ways to support us, please tick here.

We do not sell or swap your details with any third parties, but in order to carry out our work we may need to pass your details to service companies authorised to act on our behalf. Find out more about how we use your details.

Please tick to confirm you have read and agree to the statement below:* !

By submitting this form, I acknowledge that Macmillan Cancer Support does not accept any responsibility for any injury, loss or damage to me or my property incurred during participation in the above event unless Macmillan Cancer Support, its employees or agents cause the injury or damage by their negligence. Any participant who has any concern about his or her physical condition is advised to consult their doctor before taking part in the event.