Vitality Half Marathon 2021
Thank you for your interest in joining #TeamHDA for the 2020 Vitality Half Marathon. If you would like to be considered for one of our #TeamHDA places please complete and return the form below by Friday 5 February 2020.

If you are successful in obtaining a place through the Huntington's Disease Association you must pledge to raise a minimum sponsorship target of £350, excluding Gift Aid and Match Funding. There will also be a one-off registration fee of £25.

Please note that completing this form does not guarantee you a place in the 2021 Vitality Half Marathon. We choose our members of #TeamHDA on various factors including ability to complete the course and fundraise the minimum sponsorship target of £350.

This form will be used for general administrative purposes and to give us information on #TeamHDA participants. If your application is successful it will be considered a statement of intent by you to run for #TeamHDA and commitment to raising the minimum sponsorship target of £350.
Email address *
Full Name *
Address *
Postcode *
Contact Number *
Email address *
Date of Birth *
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Emergency Contact - Name *
Emergency Contact - Relationship
Emergency Contact Number *
Why do you want to run for Huntington's Disease Association? *
Do you have a link with the Huntington's Disease Association? Have you used our services in the past? *
Please tell us about your previous fundraising experience - what you have done, how much you have raised, did you enjoy it? *
What is your predicted fundraising total?
We only have a small number of places available for our runners and demand is high for them! If your application is successful how do you plan to raise your minimum sponsorship target of £350 for the Huntington's Disease Association? *
Would you be happy for us to contact you to share your story on our website, social media or in the press or our own publications? *
We ask that our runners in #TeamHDA wear our charity running tops on the day. What size you would like? *
If I am successful in my application, I will pay a non-refundable registration fee of £25 to the Huntington's Disease Association or my place will be forfeited. In addition, I pledge to raise a minimum sponsorship of £350 (excluding Gift Aid and match funding) and return all funds raised to the Huntington's Disease Association within six weeks of the end of the event in 2021. I declare to the best of my knowledge that I am in a good state of health and take full responsibility for myself. *
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