ASICS London 10K registration form

Title *

Name *

First

Last

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Gender

Male
Female
Non-binary
Other (please specify)

Age

Please note, you must be 18 years of age to take part in the ASICS London 10k.

Have you taken part in the ASICS London 10k before? *

Yes
No

Why do you want to run for MS-UK?

Which of the following best describes your connection to multiple sclerosis?

Living with MS
Relative/friend affected by MS
Professional interest
General interest

How did you hear about MS-UK's Asics London 10k places?

Please let us know which other fundraising activities/events you would like to hear about (tick all boxes that apply)

I agree to the terms and conditions *

Yes
No

• You must be at least 18 years old on race day – 09 July 2023 to take part in the Asics London 10k • Accepting an MS-UK charity place is a commitment to raise at least £100.00 for MS-UK • Sponsor money should be sent to MS-UK no later than 20 August 2023, which is six weeks after the event • You understand that if your fundraising is less than £100.00 after 20 August 2023 you will be responsible for paying the balance to MS-UK • Gift Aid does not count towards your sponsorship total • Accepting a MS-UK charity place means you agree to only fundraise for MS-UK. Any online donation pages must be 100% fundraising for MS-UK • Although you have secured a place through MS-UK, you will also need to register your details with the race organisers. This is a health and safety requirement and will ensure you receive your rider number and race day information. We will advise you of when we are ready for you to do this. Failure to not complete the registration means will not be able to take part in the Asics London 10k and this is outside of MS-UK’s control • If you need to withdraw from the event, please let us know as soon as possible and by no later than Friday 16 June 2023 • Photographs and video footage taken at this event may be used for publicity purposes • You participate at your own risk

GDPR Agreement *

I consent to having this website store my submitted information so they can respond to my enquiry.