Half marathon application form

Title*

First name*

Last name*

Date of birth*

Gender*

Email address*

Address

Address*

City*

County*

Postcode/zip*

Country*

Telephone (inc STD code)*

Alternative contact number

Emergency contact name*

Emergency contact telephone number*

Please advise of any existing medical conditions, allergies, etc. which may assist our medical team in the event of an incident.

Please specify your t-shirt size*

Is this your first half marathon?

In what time do you anticipate finishing?

Do you have a dog?*

If yes, do you train with your dog?

How did you hear about the Royal Parks Foundation Half Marathon?

How much do you think you will raise?

Please tell us how you will raise this amount

Will your company match what you have raised?

I, the undersign, will use to my best endeavours to raise £550 as a condition of acceptance of a guaranteed place. A £50.00 registration fee, which include VAT is required once my place has been confirmed by The Blue Cross.*

By clicking the 'submit' button I confirm I have read and accepted this site's data protection notice*

I confirm that I have read, fully understand and agree to the terms and conditions of the Royal Parks Foundation Half Marathon.*