Apply for a #TeamARUK charity place Please complete this form to apply for a charity place to support Alzheimer's Research UK. Type of eventSelect:RunningSwimmingCyclingObstacleUKCEOtherEvent you are applying toThis will be pre-populated with the event you clicked on and cannot be changed. If this is incorrect go back to events.Please tell us which event you would like to take part in*We receive thousands of applications for our Virgin Money London Marathon places, but we will read and carefully consider every one.Event date Date Format: DD slash MM slash YYYY Name* Title MrMrsMissMsDrProf.Rev. First name Surname Date of birth*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920GenderMaleFemaleOtherAddress line 1Address line 2Address line 3City*Postcode*Email address* Phone number*Do you work at one of these organisations?*Please select an optionNone of theseAston LarkBriggs EquipmentCertsureChampneysCMS/Olswang/NabarroDysonHidden HearingIcelandKohler MiraLazardLegal & GeneralLewis SilkinMattioli WoodsOdgers BerndtsonRicohThe Perfume ShopThe Worshipful Company of PaviorsVeoliaWickesWithersZumtobelWho is your employer?Please help us increase the money raised for dementia research by telling us where you heard about us?*parkrunARUK mailing/emailFriend/relativeARUK websiteEvent organiser's marketingOtherI'd like to take part because:*There is high demand for our charity places. Here’s an opportunity to tell us why you want to take part.How much do you expect to raise?*So we can support you in the best way possible please tell us how you plan to fundraise?*It’s incredibly important we receive the minimum sponsorship for each event. Tell us your fundraising plans to reach this and go beyond!Please tell us if you would like a running vest for the event or if you would prefer one of our t-shirts:*None-requiredT-shirtRunning vestPlease tell us if you would like cycling jersey*Yes, pleaseNo, thanksPlease tell us your size:*SmallMediumLargeExtra-largeSee sizing chartI'd be happy to talk to the press team about sharing my story to raise awarenessYesNoLet’s keep talking about dementiaWe’d like you to be the first to know about the latest research and how your support makes a difference, as well as ways you can get involved and help fund our life-changing work. We’ll keep your information safe and never sell or swap it with anyone. Let us know how we can contact you below:Email*Yes pleaseNo thanksPost*Yes pleaseNo thanksPhone*Yes pleaseNo thanksText*Yes pleaseNo thanksDeclaration* By ticking this box I confirm I have read and agree to the ARUK Sporting Events Terms and Conditions: You can change how we talk to you at any time, by calling 0300 111 5555 or emailing firstname.lastname@example.org Our Privacy Notice can be found at www.alzheimersresearchuk.org/privacy-notice/ and explains how we will use and store your information. TitleMrMsMrsMissDrFirst nameSurnameLet us know how we can contact you (tick below): Select All Post Telephone Email Text message NameThis field is for validation purposes and should be left unchanged.