London Marathon 1999 Golden Bond Place

London Marathon 1999 Golden Bond Place

Hot Chillee London to Paris #NoLimits

Thursday 26th – Sunday 29th July 2018

Thank you for your interest in joining Back Up’s London to Paris #NoLimits team.

We have 20 charity places available. To make the most of these places, we are asking that each rider pays a £150 registration fee and pledges to raise a minimum of £2,500 in sponsorship. We will of course give you our full support and guidance along the way to help you achieve your target.

By raising money for Back Up through the London to Paris #NoLimits ride you will be ensuring that our services can continue to help inspire people to transform their lives following a spinal cord injury. These services include our wheelchair skills sessions, our mentoring service, and our rehabilitative activity courses, which are all run by people who have a spinal cord injury themselves. We also support people to overcome the challenges of returning to work or school.

Back Up’s services can have a life-changing impact on individuals with a spinal cord injury, so it goes without saying how important the money raised through the London to Paris ride is.

Please fill in the form below and return it via e-mail or post no later than the 1st May.
If you have any queries, please do not hesitate to contact me. Thank you so much for your interest, and for your support of our vital work.

Kat Espiritu

Community Fundraising Manager

020 8875 6749

Back Up

4 Knightley Walk

London

SW18 1GZ

London to Paris #NoLimits 2018Application Form

1 / PERSONAL DETAILS
Name / DOB
Home Address
Town / Postcode
Telephone / Mobile
Email
Occupation / Company
2 / Fundraising
Why would you like to ride for Back Up?
Have you been involved with the charity before (please give any details)?
Would your Company consider matching your fundraising total?*
Yes No
Are you happy for us to use any photos (taken by us or submitted by you) of you for Back Up purposes?
Yes No
I would like to pay the £150 registration fee by:Paypal CHQ Bank Transfer

* Please note, company matching does not form part of your minimum sponsorship, but the additional funds raised through matching will make a big difference to our work!

3 / Your declaration

I understand that if I am accepted for a Back Up guaranteed place, I commit to raising a minimum of £2500 in sponsorship (excluding Gift Aid). I agree to the Back Up Trust Terms and Conditions with reference to the Hot Chillee London to Paris ride.

Signed
(type name if online) / Date

Back Up Terms and Conditions
Hot Chillee London to Paris #NoLimits 2018

Charity place riders

I pledge to raise the minimum sponsorship of £2500. I understand that 100% of my sponsorship must be paid to Back Up within 1 month after the event date.

  • Participants agree to raise the minimum sponsorship specified for the event.
  • Participants agree that if they have not paid the minimum amount to Back Up within 4 weeks of completing the event they may be asked to make up the shortfall themselves.
  • Unless otherwise agreed in writing participants must not use their Back Up event place for any other commercial gain, or use the challenge to fundraise for any registered charity other than Back Up.
  • Participants agree that they will follow instructions provided to register with Hot Chillee by the specified deadline. Failure to do so will result in the loss of their place.
  • In the event that less than 80% of our peloton places are not filled the level of support from Hot Chillee will reduce accordingly.

General Terms and Conditions

  • Participants agree to inform Back Up immediately if they are unable to take part in the event.
  • Should you not take up your place all sponsor forms and monies should be forwarded to Back Up.
  • All funds raised in connection with Back Up must be payable to Back Up in sterling. Please convert pledges to sterling.
  • You must carry out your fundraising in accordance with the guidelines set out in the Back Up Safe and Legal Guidelines.
  • Back Up cannot take responsibility for any injury, losses or damage caused or sustained as a result of fundraising events held in aid of Back Up. Is it the responsibility of the event organiser, to comply with legal and safety regulations. The event organiser is Hot Chillee.
  • Back Up may, at its sole discretion, withdraw a participant if it believes that it is the best interests of the charity to do so.
  • Participants must read and agree to the Terms and Conditions set by Hot Chillee.

Back Up

Reg Charity Numbers 1072216 and SC040577
Company No 3596996

Registered in England & Wales