Virgin Money London Marathon Application

Transcription

1 Virgin Money London Marathon Application Securing your place All applicants applying for a Golden Bond charity place should complete and return this form ensuring you have signed the pledge to raise at least 2000 minimum sponsorship. As our places are limited, we will offer the places to the strongest applicants based on the information provided on this form. Please ensure that you provide us with as many details as possible to make your application stand out. Once you have been offered a place you will be expected to pay a non refundable commitment fee of 50. This is to be paid within 14 days of being notified that you have been offered a place. About you Name: Address: Postcode: Telephone daytime: Telephone mobile: Date of birth: * * We use as our main method of contact so please provide one that you will check on a regular basis. How did you hear about our Golden Bond charity places? Arthritis Research UK website London Marathon website Received an from Arthritis Research UK Internet search An advert in a paper/magazine, please state which one Family/friend told me about the charity I saw one of your information leaflets Ballot drop down The official London Marathon magazines Arthritis Today Magazine/Arthritis Today Extra Other

2 What is your motivation to run for Arthritis Research UK? Please use a separate sheet if necessary. Please provide as much information as you can; this will aid your application. If you are unsuccessful in gaining a London Marathon place is there another event you would be interested in? Royal Parks Half Marathon Brighton Marathon Edinburgh Marathon Bupa Great North Run Prudential RideLondon Surrey 100 Other

3 About Your Work Name of employer: Your job role: Will your employer be supporting you with your fundraising? If so, please give details. (They may choose to sponsor you, match or part match your fundraising total, or allow you to promote your fundraising on the work intranet) Your running vest & socks We offer all London Marathon runners a free running vest and socks, along with iron-on letters so you can put your name on your vest in preparation for the big day. These sizes are the actual measurements of the vests. WOMENS MENS Please enter style (womens or mens) and size: Letters for running vest (maximum of 8 letters): About your fundraising How much do you hope to raise? (minimum pledge 2000) Have you ever done any fundraising before? If yes, what did you do and how much did you manage to raise?

4 Your fundraising plan Please give us details of how you plan to go about your fundraising. Our Sports Events Team will be on hand with ideas and advice but please outline your own plans below. For example, you may choose to hold a quiz night, cake sale or ask your local supermarket if you can hold a bag packing day. Please state how much you hope to raise from each idea/event. Please provide as much information as possible as these details will affect whether or not your application is successful. Top tips Try to break your target down into achievable blocks and think about how you would raise each amount. Think about work/social contacts you have and any social activities you take part in e.g. are you a member of a club or sports team? Could you organise any events or activities in your local area or at work to boost your fundraising potential? Your story could really help to illustrate the difficulties of arthritis to others. Would you be happy for us to contact you again about potentially using your story in the media? Yes No

5 Terms and conditions Before registering, please read the following carefully and sign below: A 50 commitment fee is required as a Gold Bond place holder. A minimum pledge of 2,000 in sponsorship should be raised from your fundraising. We encourage you to send at least 1000 of your sponsorship money to Arthritis Research UK at least 3 weeks before the marathon date. The remaining sponsorship should be sent to us by the end of June. Should you choose to withdraw, you may return all your sponsor forms and forward monies raised (provided your sponsors agree to this) to Arthritis Research UK or return monies to your sponsors. Your commitment fee of 50 will not be refunded. Arthritis Research UK is obliged to report anyone who fails to raise the minimum sponsorship amount to the London Marathon. This will affect your chances of competing in any other London Marathon Event. You must be a minimum of 18 years old on race day. Of monies raised, 300 will be used to cover the cost of your Gold Bond entry. You participate at your own risk and take full responsibility for your actions prior to, during and after the London Marathon. Please note Gift Aid does not count towards your sponsorship total. Photographs and video footage will be taken at this event and may be used for publicity purposes. Declaration I apply to take part in the London Marathon on behalf of Arthritis Research UK and have read and understood the conditions of entry. I understand that once I have been offered a Golden Bond place with Arthritis Research UK, I will need to pay my commitment fee of 50 within 14 days. My place will only be confirmed once I have paid the commitment fee. The offer of a place will expire 14 days after the date of making the offer if Arthritis Research UK has not received the commitment fee before the date. I pledge to raise a minimum sponsorship of 2000 and understand the terms and conditions of raising this money. I confirm that I am fit enough to complete in the London Marathon and that I do not have any medical conditions which may prevent me from taking part in or completing the London Marathon. I take full responsibility for myself and I confirm that I have sought the advice of my GP before taking part in the London Marathon. I understand that I am responsible for my own actions and omissions and that Arthritis Research UK, its employees and volunteers cannot be held responsible for any personal injury or death caused by my participation in the London Marathon or the loss or damage of my personal effects. I understand that Arthritis Research UK does not hold a policy of insurance which will cover me for the event and that it is my responsibility to purchase any appropriate insurance to cover my own injuries which I may cause to others. I accept all the conditions of the entry. Name (BLOCK CAPITALS): Signature: Date: Once you have completed all sections on this form please return the form to: events@arthritisresearchuk.org or Arthritis Research UK, 41 Portland Place, London W1B 1QH Successful applicants will be notified by telephone. Data Protection Act Arthritis Research UK and our trading companies would like to hold your details in order to contact you about fundraising and research. If you would prefer us not to use your details in this way please tick the box and return this form to Arthritis Research UK. 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. For office use only Ref. No: Campaign code: LM15 Donation Type: Commitment Fee Area/Region Code: Event Name: THE VIRGIN MONEY LONDON MARATHON