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

By choosing to run for Changes Bristol you are helping to fund our vital mental health support groups in Bristol.

Please complete this form if you have already bought your own place on the Bristol 10km via the Great Runs website. If you have yet to buy your place please go direct to http://www.greatrun.org/great-bristol-10k to enter. If you meant to register for one of Changes Bristol's limited charity places then please complete the alternative form on our website, named Charity Place.

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
Why have you chosen to run for Changes Bristol? *
Your answer
Sponsorship target *
There is no expected minimum target for you 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 vest? *
Captionless Image
What size would you like
Sizes and styles are male and female specific
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
Want to hear from us again?
From time to time Changes Bristol would like to contact you to let you know about our work, and how you can get involved. You can get in touch to opt-out or change your preferences at any time. We will not pass on your details to third parties. Should you prefer not to receive this information we will only contact you in regards to this event you have signed up for. Please tick the appropriate boxes to receive communications in this format
Consent for photos *
Do you consent to Changes Bristol taking photos/videos at the event to use in communications/ promotion.
Liability *
Changes Bristol can accept no liability for individuals taking part in this event. The organisers will take all necessary precautions against accidents, but in signing up I am aware that I am responsible for myself and my actions.
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