Energize - Virgin Money London Marathon - Application

Question Title

* 1. What is your first name?

Question Title

* 2. What is your Surname?

Question Title

* 3. What is your Date of Birth?

Date / Time

Date

Question Title

* 4. Address

Address *

Address 2

City/Town *

ZIP/Postal Code *

Country *

Question Title

* 5. Email Address

Question Title

* 6. Contact number

With our charity marathon place we want to support someone who has changed (or is changing) their life using physical activity or sport, the following questions will help us assess this and select a person for who running the marathon is a milestone achievement in their journey.

Question Title

* 7. In no more 200 words tell us a little about you and your journey so far with physical activity.

Question Title

* 8. What would running the Virgin Money London marathon mean to you?

Question Title

* 9. How do you plan to raise the £1250 minimum fundraising target?

Finally, we would just like to learn a little about your current running activity.

Question Title

* 10. Have you run the Virgin Money London Marathon before?

Yes

Had a place but cancelled/deferred (due to injury/fundraising issues etc)

Question Title

* 11. Do you run regularly?

Question Title

* 12. How active are you in a normal week?

Less than 30 minutes (Moderate to High activity a week)

Less than 60 minutes (Moderate to High activity a week)

More than 150 minutes (Moderate to High activity a week)

Question Title

* 13. Thank you that's all the questions :). Please use the comment box below to add anything else you would like us to know when reviewing your application.