Bristol 10km - Charity Place
Thank you for joining #TeamChanges for the Great Bristol 10km on 13th May 2018!

To take one of our charity places there is a registration fee of £20 and then we ask you to raise a minimum of £150 to help fund our vital mental health support groups in Bristol.

Please complete this form to apply to take one of our Charity Places! As we only have a limited number of Charity Places, if these do run out (*excuse the pun) , we will be in touch to offer you another option to join our team.

Email address *
Prefix (Mr, Mrs, etc.)
Your answer
First name *
Your answer
Last name *
Your answer
Phone number *
Your answer
Home address and postcode *
Your answer
Date of birth *
If you're under 18, or filling in this form on behalf of someone who is, please get in touch to check if minimum age limits apply - email info@changesbristol.org.uk
MM
/
DD
/
YYYY
Why have you chosen to run for Changes Bristol? *
Your answer
Sponsorship target *
The minimum target for a charity place is £150 but please aim as high as you can!
Your answer
Emergency Contact name *
Please let us know who to contact in case of an emergency
Your answer
Emergency Contact phone number *
Your answer
Would you like a hi tech Changes Bristol running t-shirt or a vest? *
Captionless Image
What size would you like *
We have both male and female styles.
What name would you like for your iron on t-shirt/vest letters?
T-shirt/vest transfers can be ironed on to the front of your vest/t-shirt so all the spectators can cheer you on as your run! (maximum of 7 letters as otherwise they won't fit on your top)
Your answer
Next
Never submit passwords through Google Forms.
This form was created inside of Changes Bristol. Report Abuse - Terms of Service - Additional Terms