Apply Own Place

I HAVE MY OWN PLACE

L’Etape Du Tour 2025 Event date and year

I confirm I have my acceptance documentation from the event organisers confirming my own place in the above event

I confirm I have my own place - please tick this box

Please complete the below

Riders Details First name
Last name

Home Address Address line 1 Address line 2 Address line 3
City - town
Postcode - zip
Mobile Telephone - home
Email

Male
Female
Nationality
Next of kin full name Next of kin telephone Next of kin email

Predicted Time [hrs]:[mins]:[secs]

T-shirt Please state size

Work Details Work place name Occupation Work Address Address line 1 Address line 2 Address line 3
City - town
Postcode - zip
Telephone - work
Email - work

Fundraising I pledge to raise as much as I can for Get Kids Going! Please state amount below. Thank you. I promise to set up a JustGiving page My company or workplace will match or contribute to the amount raised If yes please indicate amount My company or workplace contribution is on top of my fundraising pledge which I have stated above.

Gift Aid Please tick the box below if you agree to Get Kids Going! collecting Gift Aid - ie: reclaiming the tax back from any personal donation given to the charity.

I who have ticked the Gift Aid box above confirm I am a UK Income and/or Capital Gains taxpayer. I have read this statement and agree to Get Kids Going! reclaiming tax on any donation given to the charity from this date forwards until further notice.

I understand that I must pay an amount of Income Tax and/or Capital Gains Tax, in the tax year, at least equal to the same amount of tax that all the charities and/or any community amateur sports clubs to which I donate, will reclaim on my gifts for that tax year. I understand that other taxes such as VAT and council tax do not qualify. I also understand Get Kids Going! will reclaim 25p of tax on every £1 that I donate. I will notify Get Kids Going!, in writing, if I no longer pay sufficient tax to qualify for Gift Aid.

How did you hear of Get Kids Going!

I agree to the terms and conditions of entry laid down by the event organisers and Get Kids Going!

Keep in touch
Help us turn dreams into reality for disabled children and young people
We would love to send you information on how we encourage disabled children and young people to participate in sport and how you can help us to turn their dreams of playing sport into reality through fundraising, events and volunteering opportunities.

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Please note all of the above is a required field.

Thank you for your kind support. We look forward to having you on our team.

We will be in touch soon.

Please contact us if we have not been in touch within 10 days.
Email: [email protected] Tel: +44 (0) 207 481 8110