AJ Bell Great South Run 2024 application form

Thank you for your interest in running the AJ Bell Great South Run on Sunday 20 October 2024 for Deafblind UK. Here are a few things you need to know before applying:

We have a limited number of guaranteed places in the AJ Bell Great South Run which are allocated on a first-come, first served basis.
Applicants must be UK residents and at least 18 years of age as of the event date (20/10/2024)
We ask all runners to pledge to raise a minimum sponsorship of £250 for Deafblind UK (excluding Gift Aid)
A member of the fundraising team will notify you on the success of your application within a few days.

We look forward to you joining the team – good luck!

AJ Bell Great South Run 2024 application form

Title

Please tell us your title

First name(Required)

Surname(Required)

Gender

Date of birth (DD/MM/YY)

Address(Required)

Street Address Address Line 2 City County Post Code

Phone number(Required)

Email(Required)

This email account must be checked regularly (this is the most effective way for us to communicate event information with you).

By submitting this form, you consent to be contacted by email for the purpose of this event. If you would like to receive emails about other exciting ways to support Deafblind UK, or with news about our work, please tick the box below.

Yes, I am happy to receive emails where possible

You can update your contact preferences at any time by calling 0800 132320, by email to [email protected], or by clicking ‘unsubscribe’ at the bottom of our emails. For more information on how we use your data please see our privacy policy.

Emergency contact name and number for you on event day(Required)

Please give details about the reason you would like to run the AJ Bell Great South Run in aid of Deafblind UK(Required)

Are you running in memory of a loved one? If so, what is their full name and relationship to you?

e.g. John Smith (Father)

What is your sponsorship goal?

We ask that our runners raise a minimum sponsorship of £250 for Deafblind UK.

Please tell us your sponsorship goal

Does your employer have a match giving scheme that you can apply to in order to boost your fundraising?

Yes

I'm not sure

Name of employer

Would you be happy for us to use your fundraising story in charity publicity (e.g. to promote our charity places)?

Yes

Do you have any health conditions we need to be aware of?

How did you hear about our charity places in the AJ Bell Great South Run?

Disclaimer(Required)

I confirm that I wish to participate in the AJ Bell Great South Run 2024 in aid of Deafblind UK. I confirm that all the information provided by me in this form is to the best of my knowledge true and correct. I understand that if any information provided by me in this form is found to be false, I risk withdrawal from the event. By taking a Deafblind UK charity place, I pledge to raise at least £250 for Deafblind UK. (Please tick to indicate that you have read and agree to this disclaimer).

I agree

Your privacy(Required)

I have read the Deafblind UK privacy policy, available here.

Phone

This field is for validation purposes and should be left unchanged.