London Marathon 2024 - Own Place Runners

Page 1

Personal details

Title

First Name

Last Name

Phone

Whichever is your preferred number

Date of birth (dd/mm/yyyy)

Address

Street address

Town

County

Postcode

Emergency contact details

In the event of an emergency please contact:

Emergency contact name

Emergency contact relationship to you

Emergency contact number

Page 2

Reason for applying

Why are you interested in this event?

Other - Please specify the reason

Your meningitis experience

Relationship and name of affected person

Are you willing to share your story with the media and help us to raise awareness about meningitis, the work of Meningitis Now and your involvement?

If yes, are you happy to give some brief details, please write below

Event details

How did you hear about this event

Other - how I heard

Estimated time of completion for the London Marathon

Running top details

Please select the size of running vest you would like

What name would you like on your top? (max 10 characters)

Sizing chart

Keep in Touch

We’d love to stay in touch and share our news on how we are working tirelessly to save lives and rebuild futures through the work we do. Please tell us how you’d like to hear from us:

yes pleaseno thanks

Phone

yes pleaseno thanks

We will send you occasional postal information based on our legitimate interest to communicate with you. You can change your preferences at any time by contacting us at supporters@meningitisnow.org or by updating your preferences online. Your details will be kept safe - check out our privacy policy for more details.

By submitting you agree to the Terms and Conditions below

I agree

Terms and Conditions

Contact Information