Apply for a place in the London Marathon with Team CLDF
Tell us about yourself---Parent / Carer of someone with a childhood liver disease/transplantPerson with a childhood liver disease/transplantRelative of someone with a childhood liver disease/transplantBereaved Parent / CarerMedical / Healthcare ProfessionalOther
Date of birth
Running vest sizeSmallMediumLargeExtra large
How did you find out about this event?---CLDF websiteSocial mediaLiver LifeCLDF E-NewsEmailPostal mailingWebsite searchWord of mouthOther
Why do you want to run for CLDF?
Have you ever taken part in the London Marathon before?YesNo
Have you entered the National Ballot online?YesNo
Tell us about any other running events you have done
How would you plan to meet the minimum sponsorship target of £2,000?
What would your predicted fundraising total be?
I confirm that should I be allocated a CLDF Golden Bond place, I pledge to raise the minimum sponsorship target of £2,000. I also understand that CLDF reserves the right to withdraw my Golden Bond place should I have not received £1,500 of this amount by 01/04/2019. Gift Aid cannot be included in this total.
I confirm that I am fit and able to undertake this activity and will seek medical advice if anything changes. I understand that CLDF cannot take responsibility for any injury, damage or loss suffered when taking part in this event.
I confirm that I am currently aged 18 or over, or will be before/on Sunday 22nd April 2019.
Children’s Liver Disease Foundation would love to keep in touch with you about our vital work. By contacting you in the way you choose, we can be more cost effective in our communications and marketing activity.
1. We don’t send much post so if you only choose one option email would be best.
2. We’ll update all contact preferences on our systems within 30 days of receiving your request.
CLDF support services, family/young people events and general information and updates, including our Liver Life magazineBy postBy emailBy phone (a call from a member of the CLDF team)By text/SMS
CLDF Fundraising events and activitiesBy postBy emailBy phone (a call from a member of the CLDF team)By text/SMS
Alternatively, if you no longer wish to hear from CLDF at all please tick this boxDon't contact
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Registered Charity Number: 1067331
Registered Company Number: 3431169
Charity Registered in Scotland: SC044387
Telephone: 0121 212 3839
36 Great Charles Street
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