London Marathon 2017 Application

Thank you for choosing to apply to the Nystagmus Network for one of our London Marathon places. To do so, please complete the short form below.

First name (required)

Last name (required)

Your Email (required)

What is your connection with nystagmus / what is your motivation to raise money for the Nystagmus Network?

How do you plan to raise a minimum of £2,500 on behalf of the charity?

Do you understand that it is your responsibility to raise a minimum of £2,500 and failure to do so may result in you being personally liable for any shortfall?
YesNo

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Keri Thompson

I am Dan and I joined the Nystagmus Network in 2016 as the Executive Information and Development Manager.

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