Challenge Event Application Form (Own place)

The event

Please let us know about the event you are signed up for and your motivations behind using your place to fundraise for St John's.
Which challenge event do you already have a place for?
Please tell us why you would like to take on this challenge for St John’s.*
We'd love to know a bit more about what motivated you to use your place to fundraise for St John’s.
Have you taken part in a challenge event before? If so, please give details below about the event and whether you have raised any sponsorship towards it.*
We ask this so we can best support you and your training ahead of the event.
Have you supported St John’s in the past?*

YesNo
If so, thank you so much! Please let us know how you supported us?
What is your running/cycling vest size? Please note that our running vests come in both a male and female fit whereas our cycling vests are unisex.*

SMLXL
We'll also send you iron on letters. Please provide the name or nickname you would like (max 8 letters).*
Your fundraising

As you have your own place you are not required to pay a registration fee nor commit to fundraising for the hospice, though we actively encourage it.
Are you planning on fundraising for the hospice?*

YesNo
If yes, please let us know how much you hope to raise.
How do you hope to raise this amount?*
Please give as much detail as possible about your fundraising plans as this could set your application apart from the rest. Remember that fundraising is not limited to asking people for sponsorship, so try to get creative!
What is your occupation?*
We ask this so that we can best support you in your fundraising.
Does your employer operate a matched giving scheme? i.e. whatever amount of money you raise your company will double or make a contribution.*

YesNo
Your details

Please let us know your personal details. We will use this information to contact you about the outcome of your application.
Your name*

TitleFirst nameLast name
Email*
example@example.com
Mobile*
Please enter a valid mobile number.
Telephone
Please enter a valid mobile number.
Address*

Address Line 1

Address Line 2

CityCounty

PostcodeCountry
Date of birth*

DayMonthYear
Keeping in touch

We want to reach, connect and support more people, ensuring that everyone in our community can live well for as long as possible. We can’t do this without the help of our supporters and volunteers, which is why we’d like to keep in touch with you about our work, news and the various ways you can support us. Please confirm below what you would like to hear from us about and how you would prefer to be contacted.
I am happy to be contacted by email:*

YesNo
I am happy to be contacted by post:*

YesNo
I am happy to be contacted by phone:*

YesNo
You can change the way you hear from us at any time by emailing us or calling 020 7806 4011. Please also see our Privacy Policy for how we collect, use and look after your information.
Terms and conditions

Please confirm that you have read and understood the terms and conditions for the event and would like to use your place to join Team St John’s.
Signature*
Date*

DayMonthYear
Date
Should be Empty:

The event

Your fundraising

Your details

Keeping in touch

Terms and conditions