Great North Run 2022 Charity Places BOGOF offer
Payment details
Buy One Get One Free offer
I wish to apply for two places at £25
We also ask that you both endeavour to raise a minimum of £300 in sponsorship each
Your details
Title
Please select...
Mr
Mrs
Miss
Ms
Mx
First Name
Last Name
Date of birth
Must be 18 or over on 11 September 2022
Email
Phone
Whichever is your preferred number
Street Address
Town or City
Postcode
Your friend's details
Title
Please select...
Mr
Mrs
Miss
Ms
Mx
First Name
Last Name
Email
We will email your friend a special sign up form, so we can capture their registration details separately.
About the event
How did you hear about this event?
Please select...
Leaflet
Email
Facebook
Twitter
LinkedIn
Internet search
Other website
Meningitis Now website
E-news
Previous participant
Radio
Newspaper coverage
TV
Friend/family
Meningitis Now staff
Volunteer
Other
If other please state
Your meningitis experience
Please select...
Personal experience
Family experience
Friend/Colleague experience
Nursery experience
Pupil/Student experience
Employee experience
Professional experience
No experience
Please tick here of you are happy for us to contact you about your experience
Yes
In the event of an emergency please contact:
Name
Relationship to you
Please select...
Husband
Wife
Partner
Mother
Father
Daughter
Son
Sister
Brother
Guardian
Other family member
Friend
Nephew
Niece
Uncle
Aunt
Grandparent
Contact number
Why are you interested in taking part in this event?
Please select...
In memory
In celebration
Want to take on the challenge for myself
Other
Other please specify
Please select the size of your running vest
Please select...
Small
Medium
Large
X-Large
Running Vest Sizing Guide
What name would you like on your vest
Maximum 10 characters
Please outline your fundraising plans and ideas to raise the minimum pledge
Please give as much detail as possible
Does your employer offer a matched giving scheme? If so please provide details
Have you previously taken part in a half marathon?
If yes, please state which half marathon you took part in. If no, please state your previous running experience.
Eight weeks after the event, we will email you an electronic certificate to reflect your fundraising total. If you would prefer your certificate by post please tick here.
Please post my Certificate
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
x
And please let us know how we can contact you
Email
Post
Telephone
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
.
By submitting you agree to the below Terms and Conditions
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