Application Form Important Information
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APPLICATION FORM IMPORTANT INFORMATION We are delighted that you are applying to be part of the Hope Alive Tour. Please read the form carefully and provide all the required information. As there are many aspects to the tour, we would ask that you take the time at this stage to make sure everything is completed and submitted before the due date. We will let you know if your application has been successful 2 weeks after all the information is received. Once you have been accepted you will need to pay a non-refundable deposit of £95 within 2 weeks of the acceptance date. Failure to pay the deposit in time will result in your place being offered to the next available runner. The balance is due 4 weeks before the start date. There are a maximum of 9 running places on each tour. If not enough places are filled by the closing date, then applicants will be contacted to arrange a change of tour or a refund of the deposit. The running element of the tour is a 72-hour long-distance relay run, with team members running in half- hour slots through day and night. This is not a race - running slots are flexible and can be adjusted to suit runner's needs - but it is a challenge, so you will need to be prepared to get out of your routine, eat and sleep on the go, and support each other as a team. Please submit your application and supporting documents to the following address: Operation Orphan, 143 Attenborough Lane, Attenborough, Nottingham, NG9 6AA or email a copy to [email protected] Application Checklist Tour fee breakdown Completed Application Form Deposit: £95 Passport Photo Tour fee: £300 Signed Declaration Total: £395 Key Deadlines • Application deadline: 8 weeks before tour start date • Balance of tour fee due: 4 weeks before tour start date • Pre-tour briefing: 3/4 weeks before tour start date Tour schedule • Wednesday Evening – Arrive in Hull • Thursday Morning – Tour starts • Friday Morning – Arrive in Liverpool • Saturday Morning - Arrive in Nottingham - parkrun and Operation Orphan tour • Sunday Morning - Arrive at King Bill pub in Cambridge 1 Page Hope Alive Tour is an official Operation Orphan event. Charity Number (England and Wales) 1136170 www.operation-orphan.org [email protected] 0115 896 9942 Application Form I am applying to join the following tour: ATTACH April 2020 2021 2022 PASSPORT June 2021 2022 October 2020 2021 2022 PHOTO HERE I would like to know more about the International Option Personal Information Title (as in passport): Surname (as in passport): First and middle names (as in passport): Home Address: Street Address Town City County Country Postcode Email: Mobile Number: Home Phone: Date of Birth: (Unfortunately we do not accept runners under 18yrs) Do you hold a current/valid UK driving licence? Yes No Valid From Expiry date 2 Hope Alive Tour is an official Operation Orphan event. Charity Number (England and Wales) 1136170 www.operation-orphan.org Page [email protected] 0115 896 9942 Application Form Medical Information This information will be held securely at the office and during the tour by our medical team. Please ensure that you inform us of any changes. Once the tour has finished, these records will be securely destroyed. List all current medication: Do you have any allergies? (Please include ALL allergies incl. allergies to food, medicines etc): Please inform us of any other medical information relevant or potentially relevant to a running challenge (incl. any history of heart or respiratory problems, injuries etc): Do you have any dietary requirements? Additional Questions Briefly explain the reasons you would like to take part in the Hope Alive Tour: 3 Page Hope Alive Tour is an official Operation Orphan event. Charity Number (England and Wales) 1136170 www.operation-orphan.org [email protected] 0115 896 9942 Application Form Have you ever participated in long distance running events? Yes No If YES, list the most relevant events and your times: Briefly describe your exercise routine and indicate how you would train for the Hope Alive Tour: Do you have the funds available to participate in the tour? Yes No If NO, how do you intend to raise the funds? Will you hold a valid first aid certificate during the tour? Yes No If YES please write down the qualification and date training was completed: Running Top Unisex Size – please tick: S (37’-39’) M (39’-41’) L (42’-44’) XL (45’-47’) XXL (48’50’) • Would you like assistance in setting up an online fundraising page? Yes No • Would you like assistance in putting together a training plan? Yes No 4 Page Hope Alive Tour is an official Operation Orphan event. Charity Number (England and Wales) 1136170 www.operation-orphan.org [email protected] 0115 896 9942 Application Form Emergency Contact Title: First Name: Surname: Email: Phone Number: Relationship to applicant: Character Reference Title: First Name: Surname: Email: Phone Number: Relationship to applicant: DISCLAIMER WARNING NOTICE: The organisers, OPERATION ORPHAN accept no liability in respect of personal injury or damage to property sustained by any person in relation to the HOPE ALIVE TOUR save where this is caused by the negligence of the organisers or sponsors. All entrants must: • Follow the designated course and be aware of traffic and pedestrians. • Abide by the orders and directions of the tour leaders, safety officers and police. • Observe and obey all signs along the route. • Ensure they are medically fit to enter the race. • Be at least 18 years of age. DECLARATION: I acknowledge and accept the disclaimer above, agree to abide by the rules and agree that the decisions of the tour officials shall be final. I confirm that I am at least 18 years of age, and that I am medically fit to participate in this event. I also confirm I have never been accused of or convicted of any offences involving children, young people or vulnerable adults. I confirm that all information I have provided is correct and will update Operation Orphan of any changes to this information Full Name: Signed: Date: 5 Page Hope Alive Tour is an official Operation Orphan event. Charity Number (England and Wales) 1136170 www.operation-orphan.org [email protected] 0115 896 9942 .