Virtual Virgin Money London Marathon Registration

Sign up for Virtual London Marathon 2021

Please answer all the questions marked with an asterisk (*).

About you

Title
---MrMissMrsMsDr

First Name*

Last Name*

EMAIL*

PHONE*

ADDRESS*
ADDRESS LINE 1

ADDRESS LINE 2

POSTAL CODE

Are you disabled, or do you have an impairment or condition?

YesNoI'd rather not say

If you'd like a free Embrace running vest please select your size*

---x smallsmallmediumlargex largeI don't need a vest

How did you hear about this event?

---Virgin Money Marathon WebsiteEmbrace WebsiteGooglePreviously taken part in Embrace eventFamily friendsLocal newspaperOther

Fundraising

Have you taken part in charity fundraising activities before?

YesNo

Will your company match your fundraising?*

YesNoUnsure

How will you raise your sponsorship?*

Please tell us more about why you want to run for Embrace*

Will you require the charity logo for publicity purposes?

YESNO

Do you require a representative of the charity to attend the event if possible?

YESNO

Are you planning to involve local media?

Get updates about Embrace's work

Yes, I’d like to get emails about Embrace's workYes

Yes, I'd like to get texts about Embrace's workYes

Yes, I'd like to hear from Embrace by phoneYes

Yes, I'd like to receive post about Embrace workYes

Declaration

I understand that completing this form does not guarantee my place in the event, but I will be contacted separately and told if my application is successful.

I understand that if accepted for an Embrace Virtual Virgin Money London Marathon place, I am undertaking to raise sponsorship ( no target) and banking for Embrace no later than 6 weeks after the event.

I confirm that I will be 18 years of age by the date of the Virtual Virgin Money London Marathon and that, to the best of my knowledge, my general state of health and fitness is good and I take full responsibility for my training. I take part at my own risk.

I give Embrace permission to share my details with the event organiser.
I give permission for Embrace to use photographs or videos taken of me to raise awareness or money for Embrace's work.

I have read and agree to the above terms and conditions*

agree