Step 1 of 3 33% Name* DrMissMrMrsMsMxProf.Rev.Other Prefix First Last Address* Street Address Address Line 2 City Post Code Mobile*Would like to be added to #Shaftesbury WhatsApp Marathon Team Group. This group will be used to send you information about important marathon issues. It won’t be an open chat group.* Yes No Email* Date of birth* DD slash MM slash YYYY Gender* Male Female Non-binary Other Prefer not to say Unknown Occupation*Employer*Does your company run a matched-funding scheme?* Yes No Don't know - I'll ask Match funding is where your employer matches funds you raise, often £ for £ and sometimes up to a set amount for a charitable organisation, enhancing the amount you can raise for Shaftesbury!If you have a good personal story to tell, would you be happy for us to share this with your local media? Always and only in collaboration with you:* Yes No How did you hear about running the London Marathon for Shaftesbury?* Google Previous Shaftesbury runner London Marathon website Personal recommendation Shaftesbury website Shaftesbury enewsletter Facebook Twitter Other social media Do you have any special requirements that we need to know about i.e. allergies, medical conditions?*Estimated finish time:*This information is required by London Marathon if your application is successful Have you raised funds for charity before? If so, what did you do and how much did you raise?*If offered a place with Team Shaftesbury you would need to pledge to raise a minimum sponsorship of £1,900 for Shaftesbury (excluding Gift Aid). If you’re happy with this, please tell us how you’d fundraise:*Have you applied for a Ballot place?* Yes No Would you like a Team Shaftesbury running top if you get a place?* Yes I already have one No thanks What type?* T-shirt Running vest What size* Extra small Small Medium Large Extra large XXL Terms & Conditions I am happy for Shaftesbury to use my image for any marketing opportunities across Shaftesbury platforms As Shaftesbury pays for each London Marathon place, on signing this application you confirm that you will raise or donate a minimum of £1,900 in sponsorship. Please ensure you read the Terms & Conditions accompanying this official application form before you sign confirming your commitment. If you are offered a Golden Bond with us, please be aware that Shaftesbury has the right to withdraw your place at any time with due warning, if we consider that you are not committed to raising the minimum sponsorship. Please see extra general information about your application (this will open in a new browser window so you can easily return to this form). Declaration* I agree to these terms and conditions Privacy policy* I am happy to consent to the Shaftesbury Cookies and Privacy policy (click here to read this policy). Sharing your details* • Please note we may need to share some of your personal details with the event organiser to secure your guaranteed charity place. We will never share, sell or swap your details with a third party for the purposes of their own marketing or the monetising of your data. We’d like to keep in touch and let you know how your support is transforming the lives of people with disabilities. We'll share more on our work, events and ways you can get involved. If you have supported us before we’ll continue to contact you in this way unless you tell us otherwise. Yes, please keep me updated by email Yes, please keep me updated by phone Yes, please keep me updated by text If you would rather not hear from us, or would like to change how we contact you, please do call our friendly supporter services team on 020 7452 2121 or email us at supporterservices@shaftesburygroup.org. Taking care of your information is important to us. Information about how we protect and use your personal data is set out in our privacy policy at dataprotection@shaftesburygroup.org
