London Marathon 2021

Application form

This is your chance to tell us about yourself; why you want to take place in the London Marathon on October 3rd 2021 and more importantly, why you want to fundraise for Thames Reach. The lucky supporter will be chosen and notified by April 16th 2021. Should you have any queries, e-mail fundraising@thamesreach.org.uk for more information.

Question Title

* 1. Full name

Question Title

* 2. Gender

Male

Female

Non-binary

Prefer not to say

Question Title

* 3. Date of birth

Date / Time

Date

Question Title

* 4. Contact details

Name

Company (if applicable)

Address

Address 2

City/Town

County

Post Code

Country

Email Address

Phone Number

Question Title

* 5. If allocated this place, I hereby agree to pay a one off registration fee of £100 to Thames Reach within one month of notification.

I agree

Question Title

* 6. Tell us about yourself; why do you want to run the London Marathon 2021 for Thames Reach? Please tell us how you anticipate reaching your fundraising target? Have you experience of fundraising in the past? Does your company offer match funding opportunities? Have you experience of running long distance? What is your estimated finish time?

Question Title

* 7. I pledge that if I am successful in securing this place in the London Marathon 2021, I will raise a minimum of £2,000 excluding Gift Aid. I acknowledge that my fundraising progress will be reviewed in the lead up to the event, and if it is apparent I will not reach this target Thames Reach has the right to retain the place.

I agree

Question Title

* 8. I acknowledge my responsibility in taking on this place, and its effect on the expenditure and charitable income of Thames Reach.

I agree

Question Title

* 9. If allocated the place, I agree to tell Thames Reach of any circumstances that may prevent me from achieving the set fundraising target or taking part.

I agree