Registered charity number: 1116773

Patron: Damon Hill

Brighton Marathon Registration Form, Sunday 17th April 2016

Thank you for running the 2016 Brighton Marathon for halow!

We will give you all the help and support we can to enable you to fundraise as successfully as possible and support you with your training in every way we can. Please contact meif you have any questions at all, my email address is and the office number is 01483 447960.

Please read all the information below, sign and date.

Conditions of entry:

  • By registering for this event, you are pledging to raise a minimum of £500 sponsorship. If you cannot raise this minimum level of sponsorship you may be required to make up any shortfall yourself. (Any Gift Aid is not to be included in this total)
  • If you have to withdraw from the event for any reason any monies raised should be returned to your sponsors and your registration costs (£115) be returned to halow.
  • In accordance with the Charities Act, all participants must make a solicitation statement to sponsors or potential sponsors when seeking sponsorship money as follows:

“I am fundraising for the halowproject(registered charity number 1116773)and I am raising sponsorship monies in order to take part in the 2015 Brighton Marathon”.

  • All runners need collect their packs themselves from Brighton on either Friday15th or Saturday 16thof April2015(or give written permission for another to do so on their behalf). This is beyond halow’s control.
  • I hereby acknowledge that participation in this type of event comes with the possibility of hazards or injury. I therefore release the halowproject, its officers, members, volunteers, employees, trustees and sponsors of any liability resulting from injury or death during the event and its related activities.

I confirm that I have read and understood the conditions of entry and agree to be bound by these.

Name:

Signature:

Date:

Personal details:

Full name: ______

Address:______

______

______

Phone number: ______

Mobile number: ______

Email address: ______

Age: ______

Occupation:______

Health Declaration:

I wish to take part in the 2015 Brighton Marathon on behalf of the halowproject. I confirm to the best of my knowledge my general state of health and fitness is good and I take full responsibility for my fitness to take part in this challenge.

Name:

Signature:

Date:

Once again, thank you!

Please return this form to:

Hannah Adair, halow project, Carroll House, 11 Quarry Street, Guildford, Surrey, GU1 3UY

Registered charity number: 1116773