Please Complete All Fields Below to Be Considered for a Running Place

London Marathon for
Feed the Minds

Thank you for your interest in running the London Marathon for Feed the Minds on Sunday 24th April 2016. Feed the Minds is a UK-based charity who support some of the world’s poorest communities to empower individuals to change their lives through education.

By signing this form you pledge to aim to raise a minimum of £2,000 for Feed the Minds. Our marathon places are very precious as they provide an essential fundraising income for the charity, so exceeding this target is a condition of gaining a place. The registration fee is £100 which needs to be paid as soon as possible, once you have been offered a place

You will receive on-going support from our Community Fundraiser who can provide you with fundraising ideas, training advice and materials as well as a Feed the Minds running T-shirt.

Please complete all fields below to be considered for a running place:

FULL NAME:
EMAIL:
ADDRESS:
PHONE NUMBER:
DATE OF BIRTH:
NEXT OF KIN: / RELATIONSHIP:
NEXT OF KIN PHONE:
WHAT ARE YOUR MOTIVATIONS FOR RUNNING THE MARATHON?:
HAVE YOU RUN ANY MARATHONS/HALF MARATHONS BEFORE? WHICH ONE(S)?:
DO YOU HAVE ANY EXPERIENCE OF FUNDRAISING? IF SO, PLEASE EXPLAIN?:
HOW DO YOU PLAN ON RAISING FUNDS FOR THE LONDON MARATHON?:
HOW MUCH DO YOU EXPECT YOU WILL RAISE FOR FEED THE MINDS? WHY?:
Please check the box to confirm that you will raise at least £2,000 for Feed the Minds, if you are given a place on the Feed the Minds team in the London Marathon 2016:
☐ DATE:

To be considered for a place, please return to

Deadline for applications is 5pm on Friday 27th November. You will be contacted soon after if you have been successful.

For more information, call 020 3752 5802. Thank you.

Feed The Minds, The Foundry, 17 Oval Way, London, SE11 5RR. 0203 752 5804 www.feedtheminds.org
Registered charity in England and Wales (291333) and Scotland (SCO41999)