The Big Half 2019: Application for Team WHU

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* 1. Name

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* 2. Age

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* 3. Contact Details

Email Address

Phone Number

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* 4. Which borough/county are you a resident of?

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* 5. Please confirm you are available on 10th March 2019

Yes

No

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* 6. Have you completed any other challenge / running events

No

Yes

If yes, please specify the events participated in

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* 7. Why do you want to raise money for West Ham United Foundation?

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* 8. We are asking for a minimum fundraising amount of £200. How do you plan to hit your target?

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* 9. Do you have any medical conditions/anything we should be aware of?