London Marathon Application Form Home How You Can Help Take on a Challenge London Marathon London Marathon Application Form < London Marathon Form type* I want to apply for a Starlight charity place I have my own place and wish to run for Starlight Charity Place Application FormFirst Name* Last Name* Email address* Profession* Date of Birth* DD slash MM slash YYYY Telephone Number*MobilePostcode* Address line 1* Address line 2 City* Please tick as appropriate I have applied through the online public ballot and, if successful, would like to run for Starlight I have applied through the online public ballot and, if unsuccessful, would like to be considered for a Starlight Charity Place I have not applied through the online public ballot and would like to be considered for one of the Starlight Charity Places How did you hear about Starlight?Have you taken part in an event for Starlight before? Yes No Which event? Have you run a marathon before? Yes No Did you raise money for a charity? Yes No Charity name Year Amount raised How much do you think you can raise if you were allocated a place? £2,500-£3,000 £3,000-£5,000 £5,000-£10,000 Over £10,000 Does your company run a Match Giving Scheme? (ask your community relations, PR or marketing department) Yes No How much does your company match? Briefly outline how you would raise the sponsorship** I confirm that the information I have provided is true and accurate to the best of my knowledge and understand that Charity Places will be allocated at Starlight’s discretion. We would love to keep you informed about our work and the different ways you can support Starlight, including fundraising, events and other opportunities to get involved. Yes please, by email Yes please, by telephone No thank you, I'd prefer not to hear from you by post Thank you for supporting Starlight! We respect your right of privacy - we will never sell your data, and we promise to keep your details safe and secure. We may use your data for profiling, to help us provide an improved experience to our supporters, and ensure we are using our funds in the best possible way. For further details on our Privacy Policy and how your data is used and stored, please visit starlight.org.uk/privacy-policyOwn Place Agreement* I can confirm that I will be taking part in the Virgin Money London Marathon 2021. I have secured my own place through the public ballot and would like to run for Starlight. First Name* Last Name* Email address* Telephone Number*MobilePostcode* Address line 1* Address line 2 City* We would love you to run in a Starlight top! Please chose either a free running top or vest: Running Top Running Vest Size Small Medium Large Extra Large Why have you chosen to run for Starlight?Fundraising Declaration I agree to abide by the following terms and conditions: I am under no obligation to raise funds for Starlight but have chosen to raise as much as I can. Any funds I do raise, I will pay to Starlight within 3 months of the Virgin Money London Marathon 2021. If I am unable to take part in the Virgin Money London Marathon 2021, I will let Starlight know. * I have read and understood the above terms of acceptance. Thank you for supporting Starlight! We respect your right of privacy - we will never sell your data, and we promise to keep your details safe and secure. We may use your data for profiling, to help us provide an improved experience to our supporters, and ensure we are using our funds in the best possible way. For further details on our Privacy Policy and how your data is used and stored, please visit starlight.org.uk/privacy-policyCAPTCHA
