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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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