CP Sport Great North Run 2020 Fundraising Registration Form

Great North Run 2020 Fundraising Registration Form
About You
*Required information
Name

First NameLast Name
Email
example@example.com
Address

Street Address Line 1

Street Address Line 2

CityCounty

Postcode
Do you have twitter?
Are you happy to be included in Cerebral Palsy Sport posts about your Great North Run fundraising activities?
If yes, please provide your Twitter handle:

Your Fundraising Activity

Thank you for choosing to take part in the Simply Health Great North Run 2020 event for Cerebral Palsy Sport. The event date is 13th September 2020. Please fill in the details about your event:
Name of event:
Type of event:
e.g. marathon, schools event, cake sale.
Location of event:
Date of event:

DayMonthYear
HourMinutes
Fundraising target:
Please provide your VirginMoney Giving page or JustGiving page link:
Reason for supporting Cerebral Palsy Sport by running the Great North Run 2020:
How did you find out about us?

Declaration

Please tick to agree to the terms of organising your event in aid of Cerebral Palsy Sport:
I understand that there is a £15 entry fee payable on application and we also ask you to pledge to raise a minimum of £550 in fundraising which would need to be with us by 30th November 2020. This fundraising target does exclude any Gift Aid claimed from funds raised. *
I understand that I should seek medical advice from my general practitioner if I am in any doubt about my physical ability to take part in the Great North Run:*
I acknowledge that I am undertaking the Great North Run 2020 entirely at my own risk and that Cerebral Palsy Sport shall not be liable in any way for any injury or loss that might occur as a result of my participation: *
I understand that Cerebral Palsy Sport will, in no way, be liable for a claim which may arise from this event: *
I agree to pay all proceeds of the event to Cerebral Palsy Sport within eight weeks of the Great North Run 2020 taking place:*
Signature*

Clear
Date*

DayMonthYear

Data Protection Statement

Cerebral Palsy Sport will store the information you provide on this form securely in line with our privacy policy.

For more information visit: http://www.cpsport.org/about-us/privacy-policy/
Please confirm if you are happy for Cerebral Palsy Sport to hold your personal details*
In addition, we would like to contact you with information on events or areas of our work we think may be of interest to you.

If you tick no, we will not be able to send you any communications. Fundraisers who wish to receive updates and event information from Cerebral Palsy Sport must now opt-in to communications rather than opt-out.
Please confirm if you are happy for Cerebral Palsy Sport to keep in touch with you*
Thank you for supporting Cerebral Palsy Sport. Your fundraising efforts are enabling us to support more people with cerebral palsy and other physical disabilities to reach their life potential.

If you have any questions or need help with this form please contact the fundraising team.

Email: fundraising@cpsport.org or call 0115 925 7027
Supporting people with cerebral palsy to reach their sporting potential and putting people with cerebral palsy and their families at the heart of everything we do.

Unit 5, Heathcoat Building, Nottingham Science & Technology Park, University Boulevard, Nottingham, NG7 2QJ. Telephone: 0115 925 7027. Email: info@cpsport.org.
Find out more about the work of Cerebral Palsy Sport at www.cpsport.org.

A Limited Company registered in England and Wales, no 04181593.
Registered office as shown. Registered Charity No: 1088600.
Cerebral Palsy Sport is a member of the Institute of Fundraising.
Should be Empty:

Great North Run 2020 Fundraising Registration Form

Your Fundraising Activity

Declaration