Great North Run 2022 – ballot place registration

If you have your own ballot place in the 2022 Great North Run, please fill out the below form to join the Children North East team. We can’t wait to have you as part of #TeamCNE!

Great North Run 2022 ballot place registration

Your Name*
Address*
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Email*
Vest size*
Marketing
- I would be happy for Children North East to use any photos of me in their inhouse or website publications
- I would be happy for my photo to be used for national press coverage
- I would like to be kept updated about the fantastic work of Children North East - please add me to your email newsletter list
Employer details (please fill in this information if you employer is supporting your entry or offers match funding)
Why have you chosen to run for Children North East?*
Where did you hear about Children North East?*
How do you intend to raise your sponsorship money? (This could be through JustGiving, organising a fundraising event etc. Make sure you look at our fundraising page to get more inspiration)*
In order to maximise publicity for Children North East, please tell us anything you feel might be newsworthy, e.g. are you running to celebrate a significant occasion or event?
Please note by entering this event you are acknowledging your fitness to participate. Children North East does not accept liability for illness, injury or death as a result of participation in this event.*
- I acknowledge
Age*
I confirm I will be aged 17+ on the day of the 2022 Great North Run.
Consent*
I confirm that all the above information is correct. Please accept this tick in lieu of my signature.
Date*
MM slash DD slash YYYY
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