Boundary 500 - Challenge - Great North Air Ambulance Service

By filling in this form I agree to the Boundary 500 Challenge terms and conditions.

How will you be taking part in this event?*

Group name*

Name*

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My email is*

My phone is*

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Postcode*

ZIP / Postal Code

Address

Street Address Address Line 2 City Country

Which route are you planning to take on?*

Challenge
Classic

How many entries would you like to purchase?*

How many pillion passengers will be taking part?*

Please note, an additional £5 per passenger will be added to your total when riding with a pillion.

Please enter the details of all entrants*

Please enter the full name and t-shirt size of all entrants taking part to ensure we send out your kit to wear on the day of your event.
Please enter t-shirt size from the list - XS/S/M/L/XL/XXL/XXXL

Full Name of Entrant	T-shirt Size

We provide free kit to all of our Team GNAAS participants. Would you like to order a t-shirt?*

Choose a size*

**Please Note - The free t-shirts provided may not be suitable for physical activity. To order a technical top, please visit our online shop.

My overall fundraising target is*

If you have any other information that may be useful, please provide it below

Are you a former patient of the charity or know someone who is?*

Please tell us about your connection with GNAAS*

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Is admin user

Yes

Staff Marketing Consent Script
We'd love to keep you up-to-date with our life-saving missions and how you can help us rescue more people through fundraising, events and volunteering. Would you prefer this by email, SMS or both?

We may also occasionally contact you by post or phone. You can tell me now or at any point in the future if you’d prefer us not to do this. [For background – it is unlikely that we would contact them more than four times a year by phone/post]

How would you like to hear from us?

We'd love to keep you up-to-date with our lifesaving missions and how you can help us rescue more people through fundraising, events and volunteering. Please let us know how you'd like to hear from us.

Email
SMS

We also communicate with supporters by post or telephone to tell you more about our critical care service and the exciting ways you can support us. You can read more about this in our Privacy Policy or you can click here to not receive communications this way.

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Pillory cost

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Riders cost

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Amount