Application Form - London Marathon 2025 Your detailsFirst name* Surname* Address* Street Address Address Line 2 City County AvonBedfordshireBerkshireBuckinghamshireCambridgeshireCheshireClevelandCornwallCumbriaDerbyshireDevonDorsetDurhamEast SussexEssexGloucestershireHampshireHerefordshireHertfordshireIsle of WightKentLancashireLeicestershireLincolnshireLondonMerseysideMiddlesexNorfolkNorthamptonshireNorthumberlandNorth HumbersideNorth YorkshireNottinghamshireOxfordshireRutlandShropshireSomersetSouth HumbersideSouth YorkshireStaffordshireSuffolkSurreyTyne and WearWarwickshireWest MidlandsWest SussexWest YorkshireWiltshireWorcestershireClwydDyfedGwentGwyneddMid GlamorganPowysSouth GlamorganWest GlamorganAberdeenshireAngusArgyllAyrshireBanffshireBerwickshireButeCaithnessClackmannanshireDumfriesshireDunbartonshireEast LothianFifeInverness-shireKincardineshireKinross-shireKirkcudbrightshireLanarkshireMidlothianMorayNairnshireOrkneyPeeblesshirePerthshireRenfrewshireRoss-shireRoxburghshireSelkirkshireShetlandStirlingshireSutherlandWest LothianWigtownshireAntrimArmaghDownFermanaghLondonderryTyrone Postcode Email* Enter Email Confirm Email Phone*Date of birth* DD slash MM slash YYYY How did you hear about the event?*Social mediaHospice websiteNewsletter/emailPosterPressThrough a friendOtherNext of kin detailsNext of kin - first name* Next of kin - surname* Next of kin - Phone*About youDo you have a personal experience, story or reason why you have chosen to support the Hospice? If so, please share the details here:Have you taken part in a marathon before?Please summarise here:Do you have a medical condition or disability that may prevent you taking part in any of the activities or that we should be aware of?Please state any here:Do you work for a company that offers Match Funding?If so, please complete the following details: Name of employer: Your job title: FundraisingIf your application is successful you will be required to pay a non-refundable registration fee of £50 and to raise a minimum of £2500 in sponsorship. Please give details of your fundraising plans to hit your target.*Participating* I understand that I am applying to take part in this event at my own risk and that Greenwich & Bexley Community Hospice cannot be held responsible for any loss, damage, or injury, however caused as a result of the event. I agree that any images taken during the event may be used for publicity purposes WhatsApp* I agree to being added to a WhatsApp group and receiving information and fundraising support via whatsapp for the purposes of this event I do not consent to be added to a WhatsApp group for the purpose of this event Keeping in touchWe’d love to keep you updated about our work and how you are making a difference to the people we support. We would like to send you information about our fundraising and events, and other ways in which you can help us. We will write to you by post unless you ask us not to. Please tell us if there are other ways you’d like to hear from us. Yes, I am happy to receive occasional phone calls Yes, I am happy to receive text messages Yes, I am happy to receive emails No, please don’t send me information by post
