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GREAT SOUTH RUN 2017

Sunday 22nd October 2017 - 10 miles

GUARANTEED ENTRY ONLY £1

 
 
 
Runner's Details
*First Name
*Last Name
*Sex
*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


Company Website


*Tshirt size
*Next of Kin Name
*Next of Kin Tel
*  I Pledge to raise for disabled children - please state amount here
(min amount £175)
£ 
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 are not refundable.
*  I agree to the Terms and Conditions of entry laid down by the race organisers and Get Kids Going!


  Get Kids Going! reserves the right to reject a person's application/entry if considered appropriate.

WE WILL SEND YOU YOUR ENTRY FORM BY EMAIL WITHIN THE NEXT 24HRS. IF YOU DO NOT RECEIVE IT PLEASE CONTACT US ON - Email - info@getkidsgoing.com or Tel: 0207 485 8110

WHEN YOU HAVE RECEIVED YOUR ENTRY FORM PLEASE COMPLETE IT AND SEND IT BACK TO US BY SCAN EMAIL OR POST. THANK YOU.



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




*Required Fields