Royal Parks Half Marathon Registration Form

Simplyhealth Great Bristol 10k Registration

Thank you for your interest in being part of our TREE AID running team forthe Simplyhealth Great Bristol 10k on Sunday 13thMay 2018.

To secure your place in the event, please complete this form for us and return it via email at , or post it (along with your registration fee) to:

Supporters team, TREE AID, Brunswick Court, Brunswick Square, BRISTOL, BS2 8PE.

Personal Details
Title: Forenames :
Surname: Date of Birth: _____/______/______
Address:
City: Postcode:
Please tick if you are happy for TREE AID to contact you by post
Mobile Phone number:
Please tick this box if you are happy for TREE AID to contact you by phone and text message
Please note, we must have a mobile phone number in order to register you for the event.
Email:
Please tick this box if you are happy for TREE AID to contact you by email

To change the way we stay in touch with you, alter the information you receive from us, or opt out of contact from TREE AID altogether, please contact us on 0117 909 6363, or write to TREE AID, Brunswick Court, Brunswick Square, BRISTOL, BS2 8PE.

Emergency Contact
Name:
Relationship to you:
Phone:
Medical Notes
(Please let us know of any allergies, conditions, etc.)
Where did you hear of TREE AID or this event?
What prompted your decision to take part?

We’d like to send you a TREE AID running vest. Please let us know which size you’d like by ticking the box below.

Small Medium Large X Large

Predicted Finish Time
(Please let us know your predicted finish time in hours and minutes.)
Fundraising Pledge
We ask all runners to raise £150 for TREE AID. You will receive a fundraising pack full of ideas and tips, and we will support you all the way to help you reach your target.
How do you plan to fundraise?
I pledge to fundraise a minimum of £150 for TREE AID.
(This excludes my £20 registration fee and any Gift Aid that can be claimed on my sponsorship)
By completing and signing the Simplyhealth Great Bristol 10k registration form, I also agree to TREE AIDS’s terms and conditions.
Signature: Date:
Registration Fee (Please note, this fee is non-refundable)
I authorise TREE AID to debit my debit or credit card for £20.
(Please tick your card type below.)
Delta Solo Maestro Visa MasterCard
Name as it appears on your card:
Card No.:
Start Date: _____ /_____ Expiry Date: _____ /_____ Issue Number:
I enclose a cheque for £20 made payable to TREE AID.

0117 909 6363 

TREE AID is a Registered Charity No. 1135156.

Company Registration No. 03779545

TREE AID Brunswick Court, Brunswick Square, Bristol, BS2 8PE