Event registration

Welcome to the Virtual TCS London Marathon application form.

Thank you for your interest in running the World's biggest marathon, your own way, in aid of Pilgrims Hospices.

Things to know before filling out this form:

- We only have a limited number of places available in the Virtual TCS London Marathon, and will therefore be offering these places on a first come, first served basis.

- By applying for a Pilgrims charity place, we ask that you commit to raising at least £100 sponsorship (excluding Gift Aid).

All applicants must be at least 17 years old as of 23 April 2023.

Your details

Title*

Other*

First name*

Surname*

Your Gender*

Your date of birth*

Address*

Street Address Address Line 2 City County Postcode

Contact details

Contact mobile number*

Email address*

Enter Email Confirm Email

Must be checked regularly (this is the most effective way for us to communicate with you)

By submitting this form, you consent to be contacted by email for the purpose of this event. If you'd like to receive emails about other exciting ways to support Pilgrims Hospices or with news about our work, please tick the box below.

Email opt in checkbox

I am happy to receive emails where possible

You can update your contact preferences at any time by calling our Supporter Relations Team on 01227 782062 or by writing to us at Pilgrims Hospices, Supporter Relations, 56 London Road, Canterbury, Kent, CT2 8JA.

We are registered under the Data Protection Act and will never share, sell or swap your details with any third party for the purposes on their own marketing or the monetising of your data.

About your participation

Emergency contact name*

Emergency contact number*

Please give details about the reason you would like to run the Virtual London Marathon in aid of Pilgrims Hospices.*

Are you taking part in memory of a loved one? (If yes, please provide their full name and relationship to you)

eg. John Smith (father)

Where did you hear about our charity places in Virtual London Marathon?*

Other*

Do you have a sponsorship target you would like to achieve?*

We ask you to pledge to raise at least £100 (exc. Gift Aid)

Would you be happy for us to use your fundraising story in hospice publicity (e.g. to promote our Virtual London Marathon places)?

Yes
No

Do you have any health conditions we need to be aware of?*

No
Yes

Please list health conditions here*

Does your company have a match giving scheme that you can apply to in order to boost your fundraising?

Yes
No
Not sure

Name of company/employer

I confirm that I wish to participate in the Virtual London Marathon 2023 in aid of Pilgrims Hospices. I confirm that all the information provided by me in this form is to the best of my knowledge true and correct. I understand that if any information provided by me in this form is found to be false, I risk withdrawal from the Virtual London Marathon and the loss of my registration. By taking a Pilgrims Hospices charity place, I pledge to raise at least £100 for Pilgrims Hospices by 23 April 2023. (Please tick to indicate that you have read and agree to the disclaimer)*

I agree