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Great North Run Entry Form

Entry form to apply for a guaranteed charity place in the Great North Run.

I pledge to raise a minimum of £250 for Oasis Community Housing - my personal fundraising target is:*
We are asking our runners to raise as much as possible to give hope to people facing homelessness. We appreciate that raising sponsorship in the current climate can be challenging so we aim to support you to help you to reach your own personal fundraising target.
Title
Full Name*
Date of Birth
Address*
Postcode*
Email*
Telephone*
Vest Size*
Oasis Community Housing (OCH) would like to send you information about our work, fundraising events and campaigns, if you would like to receive this, please specify how you would prefer to be contacted:
- Select All
- Email
- Post
- Telephone
Please tick if you agree:
- I would be happy for OCH to use any photos of me in their printed or online publications.
- I would be happy for my photo to be used for future event promotion and national press coverage.
Employer
Occupation
Does your employer offer matched giving?
- Yes
- No
How did you hear about this event?*
Why have you chosen to run for OCH?*
How do you intend to fundraise?*
In order to maximise publicity for OCH, please tell us anything you feel might be newsworthy, e.g. are you running to celebrate a significant occasion or event?
Credit Card*

Card Details

Cardholder Name
Registration Fee Required to Secure Your Place
Price: £ 60.00
Charity Place Terms & Conditions*
Please check to say that by accepting an Oasis Community Housing charity place you are agreeing to the following terms and conditions:
• Participants must be 17 years or over on the day of the race.

• The registration fee payment of £60 goes towards the cost of your charity place. If in the event that you drop out for any reason and a replacement cannot be found, your deposit will be non-refundable.

• You are committing to raising a minimum of £250 for Oasis Community Housing (excluding Gift Aid) by 12th October 2021.

• If you are unable to participate in the event for any reason, all donated monies collected in support of Oasis Community Housing must be forwarded to the charity or returned to the individual sponsors.

• You must be physically fit to participate in this event and understand that Oasis Community Housing cannot take responsibility for health issues during my training for the Great North Run or incidents that occur on race day. If you have any health concerns prior to, or during, your training you will consult with my doctor.

Great North Run Entry Form

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