Event Application 2014 - 2015 Zombie Evacuation Race th st Cambridge 25 October 2014 / London 1 November 2014 To apply for one of our guaranteed places in the above event, please complete and return this form. Please note: if you have a medical condition that could adversely be affected by exercise, particularly heart conditions, please consult your Doctor before submitting the application. Personal Information Title: First Name: Surname: Address: Postcode: Email address: Telephone Number: Mobile: Date of Birth: Gender: Your Fundraising We ask that you raise at least £200 and you will need to pay a £35 registration fee if successful which will go towards your fundraising target. How much money are you trying to raise? How do you plan to reach your fundraising target? Tick all that apply      Sponsorship from friends and family Hold a fundraising event Other fundraising activities (e.g. selling cupcakes) Matched giving by your company Other (please state) Do you plan to run with friends or colleagues? Y/N Do you plan to run in fancy dress? (Running in fancy dress can encourage people to sponsor you) Y/N What inspired you to fundraise for Delete Blood Cancer UK? Tick all that apply      I believe in the cause Taking on a personal challenge In response to an appeal In memory/support of a friend or family member Other (please state) Running Experience How would you describe yourself?     First Time Enthusiast Fun Runner Regular Runner Club Runner Do you have a training schedule? Y/N If YES, When do you plan to start training? What size running vest do you need? S / M / L / XL What time do you hope to achieve? Additional Information Are you an existing Delete Blood Cancer Supporter? Y/N Would you be happy to share your fundraising story to inspire others? Y/N A member of our press team may contact you if you agree to share your story. How did you hear about our guaranteed places?        Delete Blood Cancer UK website Run For Charity Charity Choice Twitter Facebook Word of mouth Other (please state) Runner’s Declaration I, confirm that I will be 18 years of age or over on the day of the event I am applying for and that I will do everything possible to reach my fundraising target. Signed: Print Name: Date: It costs the charity £40 to register each new potential blood stem cell donor. All sponsorship money that we receive will be used to cover the cost of registering new donors. Please return your completed application form by email to: [email protected] or in writing to: The Fundraising Team, Delete Blood Cancer UK, 10 Barley Mow Passage, London, W4 4PH