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Alpine Challenge 2023 registration

Personal Details

Title

First Name (required)

Surname (required)

Address line 1 (required)

Address line 2

Address Line 3

Town (required)

County

Postcode (required)

Country

Telephone (Home)

Mobile

Email (required)

Confirm email (required)

Date of Birth (required)

Day

Month

Year

Size (unisex) (required)

Occupation (required)

Company

Does your company Match Give?

Yes

Unsure

Why would you like to do the Alpine Challenge for Spinal Research? (required)

Please detail how you will raise the minimum sponsorship (required)

Declaration

1a. I commit to raising at least the minimum sponsorship of £1,950 for the Alpine Challenge 2023.
1b. £1,000 of of my minimum sponsorship amount should be received by Spinal Research by 1 July 2023 and the full amount by the event date.
2. If I do not take part in the event, any sponsorship money raised will be treated as donations unless my sponsors contact Spinal Research directly for a refund.
3. I agree to raise all money using legal methods and complying with advice given.
4. I understand that Gift Aid is not included in my minimum sponsorship, but that money raised from Gift Aid is a valuable bonus for Spinal Research.
5. I confirm that, to the best of my knowledge, my general state of health and fitness is good and I take full responsibility for my training. I take part in this event at my own risk.
6. I confirm that I will be the minimum age required to take part in the event. For more information on specific ages for events please email community@spinal-research.org.
7. All funds raised for Spinal Research through the event will be made payable to Spinal Research.
8. I agree to Spinal Research storing the information that I have provided on their database.
9. I give Spinal Research permission to use any photographs/videos taken of me at this event, to raise charity awareness and permission to share my story and images on social media.
10. I agree to the terms and conditions set out by the event organiser for the event I am involved in. Please email community@spinal-research.org for Alpine Challenge specific terms and conditions.
11. I agree that Spinal Research may share my details with the event organiser.
12. I understand that my place has not been confirmed until I have received acknowledgement of the receipt of my registration fee of £800 and if I fail to pay I will forfeit my place.
12. I understand that my registration fee is non-refundable.

I agree with all of the statements in this declaration (required)

I agree with all of the statements in this declaration

Stay informed (required)

Spinal Research will only use your information in relation to your event. However we’d like to keep in touch to let you know about Spinal Research activities including fundraising and how your support makes a difference. If you are happy to receive this information please tick the boxes provided

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Registration - Alpine Challenge 2023

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