Team Wandsworth Mini Marathon 2024 Application Form

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* 1. Age Category

13 boys and U13 girls, aged 11 or 12 on 31 August 2023 (school year seven or eight)

U15 boys and U15 girls, aged 13 or 14 on 31 August 2023, (school year nine or 10)

U17 men and U17 women, aged 15 or 16 on 31 August 2023 (school year 11 or 12)

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* 2. Trials
Trialists must complete a 5k parkrun event between Saturday 27th January and Saturday 30th March 2024

We advise parents/carers to remain onsite during the race. Please note, the terms and conditions of parkrun state that children under the age of 11 years old are the responsibility of their parents or guardians and need to be accompanied at all times before, during and after the run. Please do not forget to bring your barcode with you as we cannot accept times that are not officially registered with the correct barcode.

Park Run Registration Number

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* 3. Athlete First Name

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* 4. Athlete Last Name

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* 5. Athlete Date of Birth

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* 6. Age on Day of Event

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* 7. Athlete Gender

Female

Male

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* 8. Address

Address

Address 2

City/Town

ZIP/Postal Code

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* 9. Name and Address of School

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* 10. Any Medical Conditions and/or Medication?

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* 11. Parent/Gaurdian Full Name

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* 12. Parent/Gaurdian Email Address

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* 13. Parent/Gaurdian Telephone Number

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* 14. Alternative Parent/Guardian's Telephone Number

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* 15. Please insert a brief description of any sporting achievement details. For example, PBs, titles won or any other facts relating to running or other sports hobbies. No more than 70 words

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* 16. If selected i give consent for my child to take part in the TCS London Mini Marathon. I have completed the necessary details and consent that in the event of any illness or accident, any necessary treatment can be administered.

We only use information collected in accordance with the Data Protection Act 1998, and the General Data Privacy Regulation 2018. This information will be stored electronically and in hard copy. Anonymised data may be used in evaluations and reports and shared with relevant third party organisations. To see our full privacy statement please visit our website or request a copy from Head Office.

If selected we will need to share your details with London Mini Marathon to register each individual's details representing Wandsworth.

Yes

No

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* 17. Due to the TCS Mini Marathon being a large scale national event there will be media coverage throughout the day. Please note that your child may be included in photos or videos.

I give consent for my child to be included in media coverage on the day of the Mini Marathon Event Day 2023.