Fundraising Title I

Title *

Pronouns

Name *

First

Last

Email *

Mobile *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

If entering as part of a team - please note their names here

Every runner must submit a full application form

Does your place of work offer any form of match funding schemes? *

Yes
No
Not Sure

Occupation

Why would you like to run the Great North Run and support PSPA. *

Please give as much detail as possible, including any connections you have to PSP or CBD, names of family members, etc, so we can make connections to those already known to us. As our places are limited, do include any information you feel will help us make a decision in granting these places.

What would your personal fundraising target be? Or if running as a team, what is your team target? *

Our GNR places have a targeted fundraising amount. This helps support our programs to increase earlier diagnosis, better awareness, and improving the quality of life for those with PSP or CBD, and their carers.

Please provide some examples of how you might raise this money *

How did you hear about PSPA (Formerly PSP Association) and our GNR places? *

Have you (or will you) apply to the ballot? *

Yes
No

If successful in getting an official ballot place, will you choose to run for PSPA? *

Yes
No

Are you applying for a place with other charities? *

Yes
No

If you were unsuccessful in getting a place from us, would you consider a place in a different event? *

Yes
No

Communication Preferences

We greatly appreciate your support and would like to keep in contact with you about our news - including stories and information about our supporters, research projects, volunteering & fundraising activities and appeals.

If you are happy to hear from us with these updates, please tell us how you would like to be contacted *

Email
Post
Phone
No further contact - please also select below

I do not wish to be contacted by PSPA, outside of this specific event

NO FURTHER CONTACT

PSPA will use your personal information only for the purposes for which you have given us consent. We will keep your data confidential and safe, and will never swap or sell it and you can always withdraw your consent at any time by emailing info@pspassociation.org.uk or calling 01327 322410. You can see our privacy statement at https://pspassociation.org.uk/home/privacy-policy which explains how we collect, store, manage and use your personal information.

You can withdraw your consent by emailing us at info@pspassociation.org.uk or calling us on 01327 322410. For further information on how data provided on this form will be used, please view our Privacy Policy.

Custom Captcha *

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Terms & Conditions

I would like to participate in the 2027 Great North Run (aka GNR) for PSPA and pledge to raise a minimum of £500 (excluding Gift Aid). £250 should be raised by end July, and the remaining no later than 31st October 2026
I understand that charity places come at a cost to the organisation, and therefore agree to contribute £25 as an entry fee. This fee is non-refundable and should be paid within 30 days of accepting my place, unless arrangements have been discussed with the PSPA Fundraising Team. The GNR place is not confirmed until this entry fee has been received
I agree to set up a JustGiving or Enthuse fundraising page to support my challenge. Please note the use of GoFundMe is not permitted
If unable to take part, I will inform PSPA at my earliest opportunity
Failure to communicate or demonstrate fundraising, may result in my removal from the race
I confirm that I will be 17 years old, or over, on race day
If successful in obtaining a PSPA charity place, I pledge to wear a PSPA running top in order to help raise awareness
I am taking part in this activity entirely at my own risk. I, therefore, do not hold PSPA or any of its representatives responsible for an injury or loss that might occur as a result of my participation
I understand that photos or videos submitted to PSPA ahead of the race, taken on race day itself, and post race day, may be used across PSPA Media (magazine, socials, etc) unless requested not to
I agree to the terms and conditions of the event organisers (available at www.greatrun.org/events/great-north-run/)

By completing this form, and ticking the box below, I confirm that I agree to the above declarations *

I agree

Please note: our Challenge Events Fundraising Manager, Sarah Day, or another member of the Fundraising team, will acknowledge your application within five days.

Our charity places will begin to be allocated in late December/early January.

Great North Run 2027

Together we can improve diagnosis for the 10,000 people living with PSP & CBD in UK.

Communication Preferences

Terms & Conditions

Please note: our Challenge Events Fundraising Manager, Sarah Day, or another member of the Fundraising team, will acknowledge your application within five days.

Entry Fee £25
Fundraising Target: £500

FAQs

When is the Great North Run?

When will applications open for charity places?

What's the registration fee and fundraising target?

Can I run for PSPA if I already have a place?

Will PSPA be there on the day?

FUNDRAISING TOOLS

PSPA SHOP

OTHER CHALLENGES

Great North Run 2027

Together we can improve diagnosis for the 10,000 people living with PSP & CBD in UK.

Communication Preferences

Terms & Conditions

Please note: our Challenge Events Fundraising Manager, Sarah Day, or another member of the Fundraising team, will acknowledge your application within five days.

Entry Fee £25 Fundraising Target: £500

FAQs

When is the Great North Run?

When will applications open for charity places?

What's the registration fee and fundraising target?

Can I run for PSPA if I already have a place?

Will PSPA be there on the day?

FUNDRAISING TOOLS

PSPA SHOP

OTHER CHALLENGES

Entry Fee £25
Fundraising Target: £500