[
Skip to content
]
Accessibility
|
Text only
|
widescreen
|
Site map
|
Text Size:
A
/
A
/
A
Search our Site
Search
Home
|
About us
|
About hospice care
|
Get involved
|
Our services
|
Media centre
|
Members
You are here:
Home
»
Get involved
»
Fundraising
»
Events and challenges
»
Challenge events
»
Application form
Challenge events
Application form
Did you know...
Hospices need to raise over £1 million per day to keep going
.
Running events application form
Use this form to apply to take part in our events
»
Indicates required fields
Event Registration Form
Event Selection
Event
»
Adidas Silverstone Half Marathon (EV00460)
Adidas Women's Challenge (EV00419)
Berlin Marathon (EV00422)
Bupa Great North Run (EV00423)
Bupa Great South Run (EV00427)
Bupa London 10000 (EV00429)
Edinburgh Marathon (EV00455)
London to Paris Bike Ride (EV00428)
London Triathlon (EV00418)
New York City Marathon (EV00420)
Royal Parks Half Marathon (EV00430)
Scottish Half Marathon (EV00431)
Virgin London Marathon 2011 (EV00453)
Other Events (EV00330)
An event not listed above
Have you applied to the event ballot for your own place?
Yes
No
Have you already had your own place confirmed in this event?
Yes
No
Your Details
First Name
»
Last Name
»
Email
»
Address 1
»
Address 2
Town/City
»
County
Postcode
»
Daytime phone
»
Evening phone/mobile
Gender
»
Male
Female
Date of birth
Who You Are Registering For
If you wish to register with your local hospice, please make sure to select it from the list below!
Who do you wish to register with?
»
Help the Hospices
My local hospice (please specify below)
Select the Hospice you wish to register with
Select an Item
--------------
Accord Hospice, PA2 7BL (RH01701)
Ardgowan Hospice, PA15 1TS (RH00469)
Ashgate Hospice, S42 7JE (RH00799)
Ayrshire Hospice, KA7 2TG (RH00313)
Barnsley Hospice, S75 2RL (RH00604)
Beacon of Hope (Ffagl Gobaith), SY23 2BJ (RH00964)
Beaumond House Community Hospice, NG24 1TW (RH01125)
Bedford Daycare Hospice, MK40 2DD (RH00726)
Bethesda Hospice, HS1 2PS (RH00764)
Birmingham St Mary's Hospice, B29 7DA (RH02269)
Blythe House Hospice, SK23 9TJ (RH00737)
Bolton Hospice, BL1 4QT (RH02699)
Bury Hospice, M26 2QD (RH01435)
Butterwick Hospice, TS19 8XN (RH01292)
CHASE Hospice Care for Children, GU3 1LP (RH02855)
Children's Hospice Association Scotland - Rachel House, KY13 8FX (RH00503)
Children's Hospice South West, EX31 2PZ (RH00736)
Claire House Children's Hospice, CH63 4JD (RH01462)
Compton Hospice, WV3 9DH (RH00052)
Cornwall Hospice Care, PL26 6AB (RH00973)
Cotswold Care Hospice, GL5 2PQ (RH02386)
Demelza House, ME9 8DZ (RH00201)
Derian House, PR7 1DH (RH01473)
Dorothy House Hospice Care, BA15 2LE (RH00345)
Douglas Macmillan Hospice, ST3 3NZ (RH01149)
Dove Cottage Day Hospice, LE14 4EX (RH01874)
Dove House Hospice, HU8 8DH (RH00952)
Dr Kershaw's Hospice, OL2 6EU (RH02908)
Earl Mountbatten Hospice, PO30 2ER (RH02964)
East Anglia's Children's Hospices, CB24 6AB (RH02836)
East Cheshire Hospice, SK10 3DR (RH01111)
East Lancashire Hospice, BB2 3NY (RH01354)
Eden Valley Hospice, CA2 4SD (RH01753)
Ellenor Hospice at Home, DA1 1SA (RH02526)
Fair Havens Hospice, SS0 8HN (RH00350)
Farleigh Hospice, CM1 7FH (RH01920)
Foyle Hospice, BT48 8JE (RH00087)
Garden House Hospice, SG6 1QU (RH00355)
George Thomas Hospice Care, CF14 7BQ (RH02325)
GIFTS Hospice, NG31 8AF (RH00284)
Great Oaks Dean Forest Hospice, GL16 8QE (RH02549)
Greenwich & Bexley Cottage Hospice, SE2 0GB (RH00488)
Grove House, AL3 5QX (RH02484)
Halton Haven Hospice, WA7 6EP (RH00123)
Harlington Hospice Association, UB3 5AB (RH01334)
Harris HospisCare with St Christopher's, BR6 9 XA (RH01526)
Hartlepool & District Hospice, TS24 9DA (RH02059)
Haven House Foundation, IG8 9LB (RH01812)
Heart of Kent Hospice, ME20 7PU (RH00013)
Helen & Douglas House Hospice Care for Children & Young Adults, OX4 1RW (RH01581)
Herriot Hospice Homecare, DL6 1JG (RH01463)
Highland Hospice, IV3 5SB (RH01536)
Hope House Children's Hospices, SY10 9BX (RH01041)
Hospice at Home West Cumbria, CA14 2RW (RH02447)
Hospice Care for Burnley & Pendle, BB10 2LW (RH01057)
Hospice in the Weald, TN2 4TA (RH00612)
Hospice Isle of Man, IM4 4RP (RH00150)
Hospice of St Francis, HP4 3GW (RH00103)
Hospice of St Mary of Furness, LA12 7JP (RH00889)
Hospice of the Good Shepherd, CH2 4DG (RH01137)
Hospice of the Valleys/Hosbis y Cymoedd, NP22 3ND (RH02058)
HospiceCare North Northumberland, NE66 1JQ (RH01620)
Hospiscare, EX2 5JJ (RH02828)
Iain Rennie Hospice at Home, HP23 4BB (RH02593)
Isabel Hospice, AL7 1LT (RH01876)
Jersey Hospice Care, JE2 3JB (RH00261)
Julia's House, BH18 8DX (RH01492)
Katharine House Hospice, OX17 3NL (RH01900)
Katharine House Hospice, ST16 3SB (RH00663)
Kemp Hospice, DY11 6AG (RH00529)
Kirkwood Hospice, HD5 9UY (RH02808)
Lakelands Hospice, NN18 8LX (RH02998)
Les Bourgs Hospice, GY6 8SF (RH02017)
Lewis Manning Hospice, BH14 8LT (RH00032)
Lindsey Lodge Hospice, DN17 2AA (RH02413)
Lions Hospice, DA11 7HQ (RH02417)
LOROS Leicestershire & Rutland Hospice, LE3 9QE (RH00021)
Martin House, LS23 6TX (RH01242)
Mary Ann Evans Hospice, CV10 7QL (RH00095)
Mary Stevens Hospice, DY8 2JR (RH02241)
Naomi House Children's Hospice, SO21 3JE (RH02369)
Nightingale House Hospice, LL11 2SJ (RH02288)
Nightingale Macmillan Unit, DE1 2QS (RH01327)
North Devon Hospice, EX32 0HU (RH01912)
North London Hospice, N12 8TF (RH02935)
Northern Ireland Hospice Care, BT36 6WB (RH01022)
Nottinghamshire Hospice, NG3 4JF (RH01504)
Oakhaven Hospice, SO41 8ZZ (RH01558)
Overgate Hospice, HX5 0QY (RH00680)
Pasque Hospice, LU3 3NT (RH02459)
Paul Sartori Foundation, SA61 1DU (RH01887)
Peace Hospice, WD17 3PH (RH02086)
Phyllis Tuckwell Hospice, GU9 8BL (RH01947)
Pilgrims Hospices in East Kent, CT2 8JA (RH00545)
Primrose at the Princess, B61 0BB (RH00573)
Primrose Hospice & Cancer Help Centre, B60 3BW (RH00295)
Prince & Princess of Wales Hospice, G5 9TD (RH02837)
Prince of Wales Hospice, WF8 4BG (RH02116)
Princess Alice Hospice, KT10 8NA (RH01212)
Prospect Hospice, SN4 9BY (RH00844)
Queenscourt Hospice, PR8 6RE (RH01130)
Rainbows Children's Hospice, LE11 2HS (RH02977)
Richard House Children's Hospice, E16 3RG (RH02127)
Rosemary Foundation - Hospice at Home, GU32 3EL (RH00947)
Rossendale Hospice, BB4 6NE (RH02429)
Rowcroft - Torbay & South Devon Hospice, TQ2 5LS (RH00243)
Rushymead Hospice Day Care Centre, HP7 0LA (RH01419)
Saint Michael's Hospice, HG2 8QL (RH02258)
Severn Hospice, SY3 8HS (RH01742)
Shakespeare Hospice, CV37 9UL (RH01018)
Shooting Star House Children's Hospice, TW12 3RA (RH02132)
Springhill Hospice, OL16 4PZ (RH01397)
St Andrew's Hospice, DN32 9RP (RH01000)
St Andrew's Hospice, ML6 6PJ (RH01883)
St Anne's Hospice, NP20 6ZE (RH00227)
St Ann's Hospice, SK8 3SZ (RH01642)
St Barnabas Hospices, BN13 2QF (RH02767)
St Barnabas Lincolnshire Hospice, LN2 1RE (RH00943)
St Catherine's Hospice, PR5 5XU (RH01815)
St Catherine's Hospice, RH10 6BH (RH02045)
St Catherine's Hospice, YO12 5RE (RH01483)
St Christopher's Hospice, SE26 6DZ (RH02486)
St Clare Hospice, CM17 9JX (RH02405)
St Clare's Hospice, NE32 5HA (RH02513)
St Columba's Hospice, EH5 3RW (RH02293)
St Cuthbert's Hospice, DH1 3QF (RH00924)
St David's Foundation Hospice Care, NP19 8GR (RH01926)
St David's Hospice, LL30 2EN (RH02363)
St Elizabeth Hospice, IP3 8LX (RH01640)
St Francis Hospice, (RH00834)
St Francis Hospice, RM4 1QH (RH01467)
St Gemma's Hospice, LS17 6QD (RH02951)
St Giles Hospice, WS14 9LH (RH00169)
St Helena Hospice, CO4 9JU (RH02706)
St John's Hospice in Wirral, CH63 6JE (RH02927)
St John's Hospice, DN4 8JS (RH00273)
St John's Hospice, LA2 6ST (RH00810)
St John's Hospice, NW8 9NH (RH00180)
St John's House, BT34 2EB (RH00883)
St Joseph's Hospice Association, L23 4UE (RH02757)
St Joseph's Hospice, E8 4SA (RH00005)
St Kentigern Hospice, LL17 0RS (RH00981)
St Leonard's Hospice, YO24 1GL (RH01862)
St Luke's (Cheshire) Hospice, CW7 4AW (RH00264)
St Luke's Hospice - Plymouth, PL9 9XA (RH02877)
St Luke's Hospice, HA3 0YG (RH02231)
St Luke's Hospice, S11 9NE (RH01988)
St Luke's Hospice, SS16 5NJ (RH00211)
St Margaret's Somerset Hospice, TA1 5HA (RH02313)
St Michael's Hospice, HR1 4HA (RH02136)
St Michael's Hospice, RG24 9NB (RH02536)
St Michael's Hospice, TN38 0LB (RH01129)
St Nicholas Hospice Care, IP33 2QY (RH02133)
St Oswald's Hospice, NE3 1EE (RH00156)
St Peter & St James Hospice & Continuing Care Centre, BN8 4ED (RH02715)
St Peter's Hospice, BS10 6NL (RH02572)
St Raphael's Hospice, SM3 9DX (RH00190)
St Richard's Hospice, WR5 2QT (RH00030)
St Rocco's Hospice, WA5 0BW (RH00610)
St Teresa's Hospice, DL3 7UA (RH00678)
St Vincent's Hospice, PA9 1AF (RH01146)
St Wilfrid's Hospice, BN21 2HJ (RH01078)
St Wilfrid's Hospice, PO19 8FP (RH02381)
Strathcarron Hospice, FK6 5HJ (RH00230)
Teesside Hospice Care Foundation, TS5 5NW (RH01409)
Thames Hospicecare, SL4 3RW (RH01457)
The Bracken Trust, LD1 5LJ (RH01067)
The Martlets Hospice, BN3 7LW (RH02600)
The Myton Hospices, CV34 6PX (RH01468)
The Norfolk Hospice, Tapping House, PE31 7PF (RH00783)
The Rowans Hospice, PO7 5RU (RH00542)
Treetops Hospice, DE72 3SS (RH01365)
Trinity - the Hospice in the Fylde, FY2 0BG (RH01930)
Trinity Hospice, SW4 0RN (RH01978)
Ty Hafan Children's Hospice, CF64 5XX (RH02888)
Tynedale Hospice at Home, NE46 1BA (RH00776)
Usk House Day Hospice, LD3 8AH (RH00773)
Wakefield Hospice, WF1 4TS (RH00082)
Weldmar Hospicecare Trust, DT1 2SL (RH02478)
Weston Hospicecare, BS23 4YQ (RH02597)
Wigan & Leigh Hospice, WN2 3HZ (RH00888)
Willen Hospice, MK15 9AB (RH00999)
Willow Burn Hospice, DH7 0QS (RH01881)
Willow Wood Hospice, OL6 6SL (RH00554)
Willowbrook Hospice, L34 2QT (RH00430)
Woking Hospice, GU22 7HW (RH00757)
Woodlands Hospice, L9 7LA (RH02318)
N/A
Selecting Help the Hospices means you are opting to raise funds for the national charity of the hospice movement should you secure a charity place in the event.
Selecting a particular local hospice means you are notifying that specific hospice that you want to raise funds purely for them. Please note that in many cases, your favoured hospice will not have access to places in the event you are applying for - you may re-apply for a Help the Hospices place instead in this case.
Application Details
Name of company/employer
Please give details of your previous running\fitness experience
»
What is your fundraising target? (£)
»
How do you plan to raise this?
»
Have you got a particular connection with the hospice cause?
»
How did you hear about Help the Hospices?
»
Select an Item
--------------
Event magazine (eg Marathon News)
Event website
Help the Hospices website
Internet search (eg google)
National media
Personal contact
Previous event
Realbuzz website
Runners World
Time outdoors
Through a local hospice
Trader Media Group publication
Workplace
Vest Size
»
Select an Item
--------------
Male S
Male M
Male L
Male XL
Male XXL
Female 8
Female 10
Female 12
Female 14
Female 16
The information provided by completing this registration form will not be shared with any third parties. If you wish for Help the Hospices to contact you in future, please opt in below.
Opt in
Please inform me of upcoming events
Registered Charity Number 1014851 (England & Wales) (Scotland, SC041112.)