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* 1. Full Name

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* 2. Date of Birth

Date

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* 3. Contact Details

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* 4. What is your occupation?

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* 5. Do you have a personal connection to Faversham Pools?

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* 6. How much do you aim to raise? Please note there is a minimum fundraising target of £2,500 (excluding Gift Aid)

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* 7. How to you plan to reach this target?

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* 8. Have you ever done any fundraising before? If so, we'd love to hear about it.

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* 9. Does your employer offer matched funding?

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* 10. How you taken part in the London Marathon or any other long distance races before? If yes, please tell us more.

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* 11. Are you willing to commit to a fundraising pledge of £2,500 (excluding Gift Aid?)

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* 12. Are you willing to pay a non-refundable registration fee of £125?

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* 13. Will you attend occasional media or PR opportunities including being tagged on our social media?

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* 14. Is there anything else you would like to tell us?

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