IRONMAN 70.3 Swansea

First name *

Last name *

Mobile number *

Email address *

Address *

Date of Birth *

Why would you like to apply for Ironman 70.3 Swansea representing Wales Air Ambulance? *

Please tell us about your previous Ironman 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 £1,500 (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 1,500 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 take part in Ironman 70.3 Swansea 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 Ironman 70.3 Swansea Race in future marketing materials.

I would like to be contacted by: *

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