Charity sign up form 2018/19 Join #TeamROH today! Thank you for interest in running with #TeamROH. Please sign up to our team by following the below instructions: - Create a just giving page and link this to The Royal Orthopaedic Hospital Charitable fund. www.justgiving.com/roh - Fill out the below sign up form! A member of the fundraising team will be in touch to get you started on your journey as a #TeamROH runner. OK Question Title * 1. What event would you like to take part in: Birmingham Velo 2019 (Sunday 12th May 2019) Birmingham 10k Run 2019 ( 26th May 2019) London Marathon 2019, (Date TBC, Spring 2019) Gung-Ho 2019, (29th June 2019) Birmingham Half Marathon (13th October 2019) Wolverhampton Colour Rush (27th July 2019) Other (please specify) OK Question Title * 2. Full name OK Question Title * 3. Home address and postcode OK Question Title * 4. Email address OK Question Title * 5. Telephone OK Question Title * 6. What is your preferred method of contact? Email Telephone Post OK Question Title * 7. Next of kin (Name & contact details) OK Question Title * 8. I have signed up to our Justgiving page: www.justgiving.com/roh Yes No Other (please specify) OK Question Title * 9. What Charity T-Shirt size would you like? Small Medium Large Extra Large Extra XLarge Other (please specify) OK Question Title * 10. Have you taken part in any other fundraising activities for The Royal Orthopaedic Hospital No Yes (please specify) OK Question Title * 11. How did you hear about us? Social Media A member of staff Website Promotion within the hospital Other (please specify) OK Question Title * 12. I would like to be kept in touch with future fundraising events & News Yes (via email) Yes (via post) No OK Question Title * 13. Would you be willing to be a team captain for your chosen event? (this would mean sharing your contact details with other fundraisers in the team) Yes No OK Question Title * 14. Would you be willing for your contact details to be shared with the team captain? Yes No OK Thank you for signing up! We'll be in touch to send details of the day and if not already, how to join our justgiving teams.Look out in your emails for materials in order to make fundraising for you as easy as possible! OK COMPLETE