First name *

Last name *

Mobile number *

Email address *

Address *

Date of Birth *

Why would you like to run the Dragon’s Back Race for Wales Air Ambulance? *

Please tell us about your previous ultra running experience? *

How much sponsorship do you pledge to raise for Wales Air Ambulance? *

I understand that if I am awarded a place I am committing to a fundraising target of £2,000 (excluding Gift Aid and Matched Funding).

Have you done any fundraising for Wales Air Ambulance before? If so, please tell us about your event.

Have you done any fundraising for another charity before? If so, please tell us about your fundraising.

Please provide a detailed fundraising plan for how you will raise the £2,000 target. Include at least three different fundraising activities. *

Occupation *

Employer *

Does your company offer a match-funding policy? *

Do you have a personal story about why you’d like to run the Dragon’s Back Race for Wales Air Ambulance , which you’d be happy for us to potentially share in press and social media (with your consent)?

Emergency contact name? *

Emergency contact number *

I am aged 18 years and over and I consent to Wales Air Ambulance using photographs of me taken during the Dragon’s Back Race 2026 in future marketing materials.

I would like to be contacted by: *

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