Virtual Hike Walk the Underground Registration Form Welcome to the Virtual Hike: Walk the Underground registration form This is a virtual event, which uses the free, award-winning Pilgrims Event App and MapMyTracks companion app for smartphones to track your virtual progress along the route. All activities logged using the app between 1st March - 31st December 2021 will be included in your overall progress. Instructions on how to track your progress will be contained within your entry confirmation email. Your details Title*MrMissMrsMsDrOtherOther* First name* Surname* Your Gender*MaleFemaleAddress* Street Address Address Line 2 City County Postcode This should be the same as the billing address of the card used at checkout. Contact details Contact mobile numberEmail address* Enter Email Confirm Email Must be checked regularly (this is the most effective way for us to communicate event information 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. 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 participationIn Virtual Hike: Walk the Underground, you have the freedom to decide the time frame in which you hope to complete the 250 mile journey. You could aim to complete the hike within 3 month, 6 months, before the 31st December 2021, or any other time frame of your choice. Let us know below and we will support you to achieve your goal.Select your challenge time frame* 3 month challenge 6 month challenge Before 31st December 2021 e.g. 8 month challengeWhen will you start your challenge? DD slash MM slash YYYY Let us know the date on which the challenge time frame above will begin. Date format: DD/MM/YYYY.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)All those who complete the full virtual hike distance will be entered into the Pilgrims Virtual Hiker Hall of Fame in recognition of their achievement. Please tick the box below to indicate you are happy to be included in the Hall of Fame. Yes, I am happy for my Map My Tracks username to appear in the Hiker’s Hall of Fame What is your Map My Tracks username? If you have an existing Map My Tracks account already, please tell us your username for the Hall of Fame. If you haven't set one up yet, you can leave this blank.Entry - Participant 1 Price: I would like to add a donation for Pilgrims Hospices to my entry of:Please select£10 could pay for a patient's meals for the day£25 could pay for an hour of nursing care£30 could pay for our Community Team to hold a video consultation with a patient in their own home£45 could pay for a virtual counselling session for an individual coping with the loss of a loved oneShow your support out on your walks with an official Pilgrims Hospices technical T-shirt The Pilgrims Hospices technical T-shirt is made of lightweight, breathable, sweat-wicking material that makes them comfortable to wear even during longer and warmer walks, or to wear under layers. What’s more, you'll be letting everyone know that you're supporting Pilgrims Hospices as you pass them by! T-shirts are just £7 and available in sizes S, M, L, XL, XXL.Please tick the box below if you would like a Pilgrims T-shirt I wish to add a Pilgrims T-shirt to my registration Please indicate the number of Pilgrims T-shirts you would like to add to your registration.* Price: £ 7.00 Quantity: If you purchase one or more Pilgrims T-shirts, these will be dispatched to your address provided above within 7 days.T-Shirt size(s) required* Pilgrims T-shirts are available in the following unisex sizes: S, M, L, XL, XXLI understand that I take part in the Virtual Hike: Walk the Underground at my own risk and agree that I will follow the latest Government guidance regarding social distancing measures at all times while conducting my walking activities. I am solely responsible for any injury, illness or loss of property I may incur through the activity and the Pilgrims Hospices will not be liable in any circumstance. I agree to abide by any terms and conditions of the event as agreed by the organisers. I undertake at all times to behave responsibly. I agree to follow any and all safety instructions given by the organisers before and during the event. (Please tick to indicate that you have read and agree to the disclaimer)* I agree Total £ 0.00 This is a virtual event and full instructions on how to track your progress for the Virtual Hike will be contained within your entry confirmation email sent upon completion of checkout.