Vitality London 10k 2022 - Own Place & Virtual Runners
Personal details
Which event are you taking part in?
Vitality London 10k - I have my own place
Vitality Virtual 10k - I have my own place
Title
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Mr
Mrs
Ms
Miss
First Name
Last Name
Phone
Whichever is your preferred number
Email
Date of birth (dd/mm/yyyy)
Street address
Town
County
Postcode
In the event of an emergency please contact:
Emergency contact name
Emergency contact relationship to you
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Husband
Wife
Partner
Mother
Father
Daughter
Son
Sister
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Guardian
Other family member
Friend
Nephew
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Emergency contact number
Your meningitis experience
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Personal experience
Family experience
Friend/Neighbour experience
Nursery experience
Pupil/Student experience
Employee experience
Professional experience
No experience
Other
Other meningitis experience details
Reason for contacting us
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Meningitis Experience
Worthwhile Charity
Community Contact
Wish to take part in local event
Wish to take part in national event
Corporate sponsorship opportunity
In Memory-Meningitis death
Concern about Meningitis
Professional Experience
Want to Volunteer
How did you hear about this event
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Email
Facebook/Twitter
Leaflet
Mailing
Meningitis Now website
Poster
Previous participant
Other
Other - how I heard
Running top details
Please select the size of running vest you would like
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Small
Medium
Large
XL
XXL
What name would you like on your top? (max 10 characters)
Keep in touch
Please let us know what you'd like to hear about
Get informed: Meningitis information
Get support: How we support those affected by meningitis
Get involved: How you can support us
All the above
I don't want to hear from you
Meningitis Information:- includes updates about the impact of the disease, vaccine programmes, our campaigns, and media activity...... How we support those affected:- includes our Family Days, Believe & Achieve weekends, Forever Days, invitations to some key events organised by us e.g. Christmas Carol Concerts...... How you can support us:- includes information about donating your time through volunteering or organising fundraising activities, how to get involved by taking part in an event such as Three Peaks Challenge, or our Five Valleys Walk and how you can donate to us through our cash appeals, or by purchasing merchandise e.g. Christmas cards
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And please let us know how we can contact you
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We will only communicate with you about the aspect(s) of our work you’ve requested, in the way(s) that you have requested. We may also contact you for administrative purposes or to fulfil a service or request. We never sell our supporter data and only share this with suppliers helping us in our cause. To find out more about how we process personal data and respect your rights, please visit our
privacy policy
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Terms and Conditions
- official event runners
Terms and Conditions
- virtual event runners
Contact Information