Simplyhealth Great North Run - 13 September 2020 Question Title * 1. Contact Details Name Company Address Address 2 City/Town Postal Code Country Email Address Phone Number Question Title * 2. Date of birth Date / Time Date Question Title * 3. Age on race day Question Title * 4. Occupation Question Title * 5. Will you qualify for matched funding with your employer? Yes No I'm not sure Question Title * 6. How did you hear about UK Youth? Question Title * 7. We would love to know why you're chosen to support UK Youth? Question Title * 8. Please tell us three ways you intend on fundraising for UK Youth? Question Title * 9. UK Youth would like to contact you occasionally about news, upcoming challenge events and fundraising opportunities. I consent to being contacted by UK Youth about news, upcoming challenge events and fundraising opportunities. I do not consent to being contacted by UK Youth about news, upcoming challenge events and fundraising opportunities. Question Title * 10. I consent to being contacted by: Phone Email Post Question Title * 11. Please click here to read our full Terms & Conditions document. All runners are responsible for reading and saving a copy of the Terms and Conditions document before ticking the T&Cs agreements box below and clicking 'Done'. I confirm that I am applying for a UK Youth charity place in the Simplyhealth Great North Run 2020. I understand that if successful I will immediately pay a £20 registration fee (including VAT) and I pledge to raise a sponsorship of at least £550 (excluding Gift Aid). I have read, understood and agree to the attached ‘Terms & Conditions’ document. Yes No Done