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London 10,000 Run 2017

Monday 29th May 2017.

Online Entry Form

 
 
 
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
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 also not be returned once we have confirmed your entry into the race.
*  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.


*  Please contact us if we have not confirmed your entry within 4 working days
Email: info@getkidsgoing.com
Tel: 0207 481 8110


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




* Full name as stated on credit/debit card
Your Entry Fee of £10 will be taken at the next stage via Paypal.
We accept all major credit and debit cards.


*Required Fields