SILVERSTONE HALF MARATHON 2018

Runner's Details

*First Name

*Last Name

*Gender

*Date of Birth
(DD/MM/YYYY)

* Age

*Home Address

*City/Town

*Post Code

*Telephone

*Mobile

*E-mail Address

*Nationality

*Predicted Time

: :
Hrs Mins Secs

Work Details

*Work Place Name

*Occupation

*Work Address

*City/Town

*Telephone

Fax

Company Website

*Tshirt size

*Next of Kin Name

*Next of Kin Tel

* I Pledge to raise for disabled children - please state amount here

My Company/workplace will match or contribute to the amount raised

If yes please indicate what amount you think your company/workplace will kindly contribute.

* I am a UK taxpayer and agree to Get Kids Going! collecting Gift Aid from any personal donation given by myself.

* I promise to set up a Virgin Money Giving page to help raise my sponsorship
It's easy, just log on to www.virginmoneygiving.com. Thank you

Please note that any kind donations given to Get Kids Going! cannot be returned. Entry fees can not be refunded.

* I agree to the Terms and Conditions of entry laid down by the race organisers and Get Kids Going!

Help us turn dreams into reality for disabled children

We would love to send you information on how we encourage disabled children 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.

Please tick below to tell us how you would like to hear from us:

* Email	Yes	No
* Text	Yes	No
* Post	Yes	No
* Phone	Yes	No

We take your privacy seriously and we will never sell or swap your details with third parties. You can tell us at any time to withdraw your consent by emailing us on [email protected]. Information on how we protect and use your personal data is set out in our privacy and cookies policy..

* Please contact us if we have not confirmed your entry within 4 working days.
Email: [email protected]
Tel: 0207 481 8110

* Please do not book your travel/accommodation, etc, until we have confirmed your entry
into the race in writing. Thank you.

We do not give, swap or sell any of your details to any other organisation whatsoever. However, we would like to keep you updated on the charity's activities. If you do not want to hear from us again
please tick this box

* Full name as stated on credit/debit card

Your Entry Fee of £15 will be taken at the next stage via Paypal.
We accept all major credit and debit cards.

*Required Fields

Silverstone Half Marathon - 2018

ADIDAS SILVERSTONE HALF MARATHON 2018