Canterbury Half Marathon application form Welcome to the Canterbury Half Marathon application form. Thank you for your interest in running in aid of Pilgrims Hospices. We ask all runners to commit to raising at least £100 in sponsorship for the Canterbury Half Marathon (excluding Gift Aid). By registering for this event through Pilgrims Hospices you will be entered for free. Please note: all applicants must be at least 17 years old as of 28 August 2023. Your details Title*Please selectMrMissMrsMsMxDrOtherOther*First name*Surname*Your date of birth* DD slash MM slash YYYY Your Gender*Please selectMaleFemaleNon-binaryTransgenderPrefer not to sayAddress* 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. 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 participationEmergency contact name*Emergency contact number*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 the Canterbury Half Marathon?*WebsiteSocial mediaEmailPilgrims Matters magazinePoster/flyer/bannerFamily memberPilgrims volunteerNewspaperWord of mouthOtherOther*Are you affiliated to a UK athletics club?*NoYesName of UK Athletics ClubUKA registration number*Do you have a sponsorship target you would like to achieve?£100+£250+£500+Does your employer have a match giving scheme that you can apply to in order to boost your fundraising? Yes No Not sure Name of employerI commit to raising at least £100 of sponsorship for Pilgrims Hospices. I understand that I take part in this event at my own risk and that the organisers will not be liable for any injury except where injury is caused by their negligence and they are legally liable. 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. By taking part in the event, I agree to Pilgrims Hospices using my name and any footage or photographs taken during my participation to be used in any future promotional material. (Please tick to indicate that you have read and agree to the disclaimer)* I agree