Application form: Virgin Money London Marathon – April 2019 (exact date tbc)

YES (please tick) I would like to apply for a Migraine Trust guaranteed place in the Virgin Money London Marathon 2019 and I pledge to raise at least £2,000 in sponsorship for The Migraine Trust and I aim to have raised £500 of this by 31 January 2019. I also understand the place requires a £50 deposit that will be passed back to me upon reaching the target of £2,000.

YES (please tick) I will be 18 years old or over on Sunday 22 April 2019.

Personal information

Title:……….First name:……………………………Surname:….…………...………………

Full postal address:…………………………………………..……….……………..………..

……………………………………………………….Postcode:………………..…...………..

Email address:…………..…………………….………………..……………………………...

(Please provide an email address if possible as the majority of marathon information and fundraising support will be provided by email. For this reason, please provide us with an email address for an account that you check regularly.)

Telephone/Mobile number: …………………...…………..…………………………………..

Date of birth:………………………………..……….. Age on race day:……….……………

Twitter@:...... Facebook:……………………......

Data protection and communication preferences

The Migraine Trust will keep this application form on file for the purposes of managing applications to our London Marathon team. We will use the contact details you have given on this form to contact you regarding the London Marathon event.

If we offer you and you accept a Migraine Trust guaranteed place in the Virgin Money London Marathon 2019, we will add your name and contact details to our database to join our mailing list. We'd like to keep you informed about our work, news, events and ways to get involved or support us. We'll never sell or pass on your details to third parties for marketing purposes. You can change your preferences at any time. If you do not wish to receive further communications from The Migraine Trust please let us know. Our privacy policy is available on our website with more information about how we look after your details.

Accepting a place on our London Marathon team

By accepting one of our guaranteed Virgin Money London Marathon places you give your permission for The Migraine Trust to take photos of you during the London Marathon event for promotional purposes. You also give permission for The Migraine Trust to promote any fundraising web page (e.g. Virgin Money Giving or JustGiving) that you may create. Photos and links to fundraising web pages may be used in printed materials, ebulletins and online such as on our website, Facebook and Twitter. If you have any questions about this, please contact our fundraising team on 020 7631 6976 or .

Employment information

Company name:…………………………………….. Occupation:…………………………..

Does your company/employer offer a matched funding scheme*?YesNo

*This is not compulsory, but if it is available it will significantly assist with your fundraising efforts.

Running experience

Have you taken part in a marathon previously?YesNo

Have you taken part in any other running events?YesNo

Please provide details:…………………………………………………………………………

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Further information

Have you applied for the official London Marathon ballot?YesNo

Have you applied for a guaranteed charity place from

any other charities or do you intend to?YesNo

Supporting statements

Please provide as much detail as possible to the following questions, going on to an additional page if necessary. We have a huge demand for a limited number of marathon places. Each place costs the charity a lot of money, so it is very important that you plan how you might reach and hopefully exceed your target of £2,000. Places are awarded to the strongest applications.

  1. Why do you want to run for The Migraine Trust?

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  1. How do you think you can reach your sponsorship target?

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Signature:..……………….…………………..…….……..…. Date:……..……….………….

We recommend submitting your application as early as possible. Whilst our application deadline is 31 August 2018, we may award places before this date. We will notify applicants whether or not they have been successful in receiving one of our charity places by 31 October 2018 at the latest.

Please return your completed application form to:

Freepost RSRB-ZYSK-GGCC, The Migraine Trust, 52-53 Russell Square, London, WC1B 4HP

If you have questions about the London Marathon or The Migraine Trust, please contact our fundraising team on or 020 7631 6976.

Please visit to learn more about migraine and our charitable work. From the website you can subscribe to our free ebulletin to receive regular updates and news by email. You can also follow us on Facebook and Twitter.

Thank you for applying for a place in the Virgin Money London Marathon 2019!

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Registered charity in England and Wales (1081300) and Scotland (SC042911)