The Village Clnic free charity post race massage application

Application for free post marathon massage

Thank you for taking part in the Cheltenham Half Marathon 2025 and making a difference through your fundraising. We are offering x5 free post-race massage sessions for runners raising money for charity. Please complete the form below to apply. The free Massages will be available on selected dates between 21/9/25-4/10/25 - see below for details
Full Name*

First NameLast Name
Birth Date*

DayMonthYear
Email*
example@example.com
Phone Number
Which charity are you running for and why did you chose this charity? *
Link to your fundraising page ( e.g Justgiving, GoFund Me) *
When are you available to have your post-race massage? ( check all that apply)*
Anything else you would like us to know?
Terms and Conditions for the giveaway:

- Runners must provide proof of entry or bib number for the Cheltenham Half Marathon on 21.9.25

- Only one entry per runner

- We will offer you a massage time based on your availability above. Where possibly we will offer you a choice of dates and times, but this will be subject to availability

- Entries close 10.00pm pm Sunday 14/9/25

- Winners will be announced on Wednesday 17/9/25

- We will shortlist entries based on your answers on the form above e.g. valid live online charity fundraising page, then winners will be random drawn from the short list.
Consent and Privacy

You are on the final section so please bear with us. As part of our regulations we have go through consent and privacy policy information.
Important information for clinic based Massage therapy appointments

Please read this information carefully.

Massage appointments will last approximately 40 minutes. It will involve the Massage therapist discussing your answers to this form, physical assessment and treatment.

Please be aware that the Massage Therapist may need you to undress to your underwear - feel free to bring a pair of shorts or wear a vest top.

If there is any aspect of your condition you are unsure or unhappy about, please discuss this with your massage therapist. You have the right to decline any aspect of treatment at any time. You are welcome to be accompanied by a chaperone during treatment.

We usually get the best results when our patients follow a personalised home exercise programme in conjunction with their treatment. It may help you to enlist the help of family and friends.
PRIVACY NOTICE INFORMATION

Our Privacy policy can be found on our website.

We do not pass your details onto any third parties for marketing purposes

Clinic updates and vouchers: From time to time we may send you clinic updates, or loyalty vouchers. If we have your email address, we will send you these via email. If you would prefer these to be sent by post or to opt out, please inform our reception team.

We will regularly communicate with you between appointments e.g. appointment reminders, outstanding invoices etc. You can opt out of reminders, or change your preferred method of communication e.g. text, email, phone call, by informing our receptionists.

Please inform us ASAP of any change of details e.g. address, email, telephone number.
Please Tick to consent*

I consent to be contacted by The Village Clinic regarding this application and massage services attend for massage soft tissue treatments and have read and understood the attached information regarding my appointment and the privacy notice.
Please Tick to consent*

If selected I consent to my race story being used in a social media campaign by The Village Clinic (including your name and link to your charity page)
I sign this consent form on behalf of:*

MyselfAs a parentAs a legal Guardian
Your Name

First NameLast Name
Relationship to the person:
Signature

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Application for free post marathon massage

Consent and Privacy