Folkestone Downs Challenge Registration Form 2022 Welcome to the Folkestone Downs Challenge registration form, which can be used to register up to 4 people at a time. Standard online entry is available now for just £35 per person, until midnight Monday 29th July 2022. The Folkestone Downs Challenge has a maximum capacity of 500 walkers, and over 50% of places have already filled, so early registration is advised to avoid disappointment. On the day entry is £45 (subject to capacity). All participants must be at least 16 years old on 3rd September 2022. Your details Title*Please selectMrMissMrsMsMxDrOtherOther* First name* Surname* Your Gender*Please selectMaleFemaleNon-binaryTransgenderPrefer not to sayYour date of birth* DD slash MM slash YYYY Address* Street Address Address Line 2 City County Postcode Contact details Contact mobile number*This should be the same number as the charged mobile phone you will have with you during the event.Email 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 participationAre you part of a team? (If yes, please provide team name) This will ensure that you are allocated the same start wave as your other team members.Do you have a sponsorship target you would like to achieve?£100£250+£350+As much as I canEmergency 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)Please tick the box below if you are intending to jog/run the Folkestone Downs Challenge Yes, I intend to jog/run the Folkestone Downs Challenge Select the option that best describes your anticipated average pace. Bear in mind that the Folkestone Downs Challenge is 36km in length and includes 460m of elevation gain.*Please select4 km/h (Equivalent to a pace of 15:00 min/km, or 24:08 min/mile)4.5 km/h (Equivalent to a pace of 13:20 min/km, or 21:27 min/mile)5 km/h (Equivalent to a pace of 12:00 min/km, or 19:19 min/mile)5.5 km/h (Equivalent to a pace of 10:55 min/km, or 17:33 min/mile)6 km/h (Equivalent to a pace of 10:00 min/km, or 16:06 min/mile)6.5 km/h (Equivalent to a pace of 9:14 min/km, or 14:51 min/mile)7 km/h (Equivalent to a pace of 8:34 min/km, or 13:48 min/mile)8 km/h (Equivalent to a pace of 7:30 min/km, or 12:04 min/mile)9 km/h (Equivalent to a pace of 6:40 min/km, or 10:44 min/mile)This will be used, along with your team information, to allocate an appropriate check-in time and start wave for event day. If you wish to walk/jog with teammates, try to ensure that you select the same average pace and provide the same team name above.Where did you hear about this event?*Please selectPoster/flyer/bannerWord of mouthWebsiteEmailPostPilgrims volunteerSocial mediaPilgrims mattersFamily memberNewspaperOtherOther* A Pilgrims technical T-shirt is included as part of your entry. Please indicate the size that is required:T-shirt size - Participant 1 Small Medium Large X Large XX Large XXX Large No T-shirt required (I have one from a previous event) Additionally, you can purchase a Pilgrims Hospices neck scarf for just £5. This multi-functional accessory benefits from Hot & Cold technology, designed to keep you warm when it’s cold, and to wick moisture away when it’s hot with our exclusive Qwick-Dri™ technology. What’s more, the lightweight nature of the fabric ensures it’s comfortable to wear for prolonged periods of time.Would you like to add a Pilgrims neck scarf for Participant 1?*Please selectNoYes + £5.00Neck scarves will be posted to you in your participant pack in advance of the event.Standard entry - Participant 1 Price: Available until 29th August 2022.Would you like to register a second person? Yes Participant 2's detailsTitle*Please selectMrMissMrsMsMxDrOtherOther* First name* Surname* Gender*Please selectMaleFemaleNon-binaryTransgenderPrefer not to sayDate of birth* DD slash MM slash YYYY Under 18s must be accompanied by a participating adult and supervised at all times.Address (second participant)* Same as Participant 1 Street Address Address Line 2 City County Postcode Contact mobile number*This should be the same number as the charged mobile phone they will have with them during the event.Email address* Enter Email Confirm Email Must be checked regularly (this is the most effective way for us to communicate with you)Are they part of a team? (If yes, please provide team name) This will ensure that you are allocated the same start wave as your other team members.Emergency contact name* Emergency contact number*Are they taking part in memory of a loved one? (If yes, please provide their full name and relationship to you) eg. John Smith (father)Please tick the box below if participant 2 is intending to jog/run the Folkestone Downs Challenge Yes, Participant 2 intends to jog/run the Folkestone Downs Challenge Select the option that best describes participant 2's anticipated average pace. Bear in mind that the Folkestone Downs Challenge is 36km in length and includes 460m of elevation gain.*Please select4 km/h (Equivalent to a pace of 15:00 min/km, or 24:08 min/mile)4.5 km/h (Equivalent to a pace of 13:20 min/km, or 21:27 min/mile)5 km/h (Equivalent to a pace of 12:00 min/km, or 19:19 min/mile)5.5 km/h (Equivalent to a pace of 10:55 min/km, or 17:33 min/mile)6 km/h (Equivalent to a pace of 10:00 min/km, or 16:06 min/mile)6.5 km/h (Equivalent to a pace of 9:14 min/km, or 14:51 min/mile)7 km/h (Equivalent to a pace of 8:34 min/km, or 13:48 min/mile)8 km/h (Equivalent to a pace of 7:30 min/km, or 12:04 min/mile)9 km/h (Equivalent to a pace of 6:40 min/km, or 10:44 min/mile)This will be used, along with their team information, to allocate an appropriate check-in time and start wave for event day. If you wish to walk/jog with teammates, try to ensure that you select the same average pace and provide the same team name above. A Pilgrims technical T-shirt is included as part of your entry. Please indicate the size that is required:T-shirt size - Participant 2 Small Medium Large X Large XX Large XXX Large No T-shirt required (Participant 2 has one from a previous event) Would you like to add a Pilgrims neck scarf for Participant 2?*Please selectNoYes + £5.00Neck scarves will be posted to you in your participant pack in advance of the event.Standard entry - Participant 2 Price: Available until 29th August 2022.Would you like to register a third person? Yes Participant 3's detailsTitle*Please selectMrMissMrsMsMxDrOtherOther* First name* Surname* Gender*Please selectMaleFemaleNon-binaryTransgenderPrefer not to sayDate of birth* DD slash MM slash YYYY Under 18s must be accompanied by a participating adult and supervised at all times.Address (third participant)* Same as lead participant Street Address Address Line 2 City County Postcode Contact mobile number*This should be the same number as the charged mobile phone they will have with them during the event.Email address* Enter Email Confirm Email Must be checked regularly (this is the most effective way for us to communicate with you)Are they part of a team? (If yes, please provide team name) This will ensure that you are allocated the same start wave as your other team members.Emergency contact name* Emergency contact number*Are they taking part in memory of a loved one? (If yes, please provide their full name and relationship to you) eg. John Smith (father)Please tick the box below if participant 3 is intending to jog/run the Folkestone Downs Challenge Yes, Participant 3 intends to jog/run the Folkestone Downs Challenge Select the option that best describes participant 3's anticipated average pace. Bear in mind that the Folkestone Downs Challenge is 36km in length and includes 460m of elevation gain.*Please select4 km/h (Equivalent to a pace of 15:00 min/km, or 24:08 min/mile)4.5 km/h (Equivalent to a pace of 13:20 min/km, or 21:27 min/mile)5 km/h (Equivalent to a pace of 12:00 min/km, or 19:19 min/mile)5.5 km/h (Equivalent to a pace of 10:55 min/km, or 17:33 min/mile)6 km/h (Equivalent to a pace of 10:00 min/km, or 16:06 min/mile)6.5 km/h (Equivalent to a pace of 9:14 min/km, or 14:51 min/mile)7 km/h (Equivalent to a pace of 8:34 min/km, or 13:48 min/mile)8 km/h (Equivalent to a pace of 7:30 min/km, or 12:04 min/mile)9 km/h (Equivalent to a pace of 6:40 min/km, or 10:44 min/mile)This will be used, along with their team information, to allocate an appropriate check-in time and start wave for event day. If you wish to walk/jog with teammates, try to ensure that you select the same average pace and provide the same team name above. A Pilgrims technical T-shirt is included as part of your entry. Please indicate the size that is required:T-shirt size - Participant 3 Small Medium Large X Large XX Large XXX Large No T-shirt required (Participant 3 has one from a previous event) Would you like to add a Pilgrims neck scarf for Participant 3?*Please selectNoYes + £5.00Neck scarves will be posted to you in your participant pack in advance of the event.Standard entry - Participant 3 Price: Available until 29th August 2022.Would you like to register a fourth person? Yes Participant 4's detailsTitle*Please selectMrMissMrsMsMxDrOtherOther* First name* Surname* Gender*Please selectMaleFemaleNon-binaryTransgenderPrefer not to sayDate of birth* DD slash MM slash YYYY Under 18s must be accompanied by a participating adult and supervised at all times.Address (fourth participant)* Same as lead participant Street Address Address Line 2 City County Postcode Contact mobile number*This should be the same number as the charged mobile phone they will have with them during the event.Email address* Enter Email Confirm Email Must be checked regularly (this is the most effective way for us to communicate with you)Are they part of a team? (If yes, please provide team name) This will ensure that you are allocated the same start wave as your other team members.Emergency contact name* Emergency contact number*Are they taking part in memory of a loved one? (If yes, please provide their full name and relationship to you) eg. John Smith (father)Please tick the box below if participant 4 is intending to jog/run the Folkestone Downs Challenge Yes, Participant 4 intends to jog/run the Folkestone Downs Challenge Select the option that best describes participant 4's anticipated average pace. Bear in mind that the Folkestone Downs Challenge is 36km in length and includes 460m of elevation gain.*Please select4 km/h (Equivalent to a pace of 15:00 min/km, or 24:08 min/mile)4.5 km/h (Equivalent to a pace of 13:20 min/km, or 21:27 min/mile)5 km/h (Equivalent to a pace of 12:00 min/km, or 19:19 min/mile)5.5 km/h (Equivalent to a pace of 10:55 min/km, or 17:33 min/mile)6 km/h (Equivalent to a pace of 10:00 min/km, or 16:06 min/mile)6.5 km/h (Equivalent to a pace of 9:14 min/km, or 14:51 min/mile)7 km/h (Equivalent to a pace of 8:34 min/km, or 13:48 min/mile)8 km/h (Equivalent to a pace of 7:30 min/km, or 12:04 min/mile)9 km/h (Equivalent to a pace of 6:40 min/km, or 10:44 min/mile)This will be used, along with their team information, to allocate an appropriate check-in time and start wave for event day. If you wish to walk/jog with teammates, try to ensure that you select the same average pace and provide the same team name above. A Pilgrims technical T-shirt is included as part of your entry. Please indicate the size that is required:T-shirt size - Participant 4 Small Medium Large X Large XX Large XXX Large No T-shirt required (Participant 4 has one from a previous event) Would you like to add a Pilgrims neck scarf for Participant 4?*Please selectNoYes + £5.00Neck scarves will be posted to you in your participant pack in advance of the event.Standard entry - Participant 4 Price: Available until 29th August 2022.DisclaimerI understand that I take part in the Folkestone Downs Challenge at my own risk and that the organisers will not be liable for any injury or illness except where injury or illness 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 in any future promotional material. (Please tick to indicate that you have read and agree to the disclaimer)* I agree 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£35 could pay for therapy sessions for patients and carers£50 could pay for essential nursing suppliesOther amountPlease enter your chosen donation amount:* Gift Aid - Increase the value of your gift by 25%* Yes. Please treat all donations I make now, in the future, or have made to Pilgrims Hospices for the past 4 years as Gift Aid donations until further notice. I am a UK taxpayer and understand that if I pay less income Tax and/or Capital Gains Tax in the current tax year than the amount of Gift Aid claimed on all my donations it is my responsibility to pay any difference. I understand that Pilgrims Hospices will reclaim 25p of tax on every £1 that I have given. No, I am not a UK Taxpayer or do not wish you to claim Gift Aid on my donation. Total £ 0.00