ASICS London 10K registration formPlease enable JavaScript in your browser to complete this form.Title *MrMrsMissMsMxProfDrRevOtherName *FirstLastEmail *Phone *Address *Address Line 1Address Line 2CityState / Province / RegionPostal CodeGenderMaleFemaleNon-binaryOther (please specify)Age18-2425-3435-4445-5455+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? *YesNoHow did you hear about MS-UK?Why do you want to run for MS-UK?What is your fundraising plan? (Please include as much information as possible, including how much you think you can raise) *What is your job? (This helps us determine potential match-giving or corporate support) *Please tick here if your employer will match-fund or part-fund you for this event YesNoWhich of the following best describes your connection to multiple sclerosis? Living with MSRelative/friend affected by MSProfessional interestGeneral interestHow did you hear about MS-UK's Asics London 10k places? Through a friendPreviously supported MS-UKSocial mediaAsics London 10k websiteMS-UK websitePlease let us know which other fundraising activities/events you would like to hear about (tick all boxes that apply)Other running eventsCycling eventsSwimming eventsArranging/taking part in your own eventSkydivesGamingVolunteeringMaking a regular donation to MS-UKCorporate fundraisingPlaying our lotteryLeaving a legacy to MS-UKI agree to the terms and conditions *YesNo• 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 £200.00 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 £200.00 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 26 May 2023 • Photographs and video footage taken at this event may be used for publicity purposes • You participate at your own riskGDPR Agreement *I consent to having this website store my submitted information so they can respond to my enquiry.Submit
