London Marathon - Registration Form

Thank you for your interest in Birmingham St Mary's Hospice Virgin London Marathon charity places. Please complete the below form to apply.
  • Personal Details

  • DD slash MM slash YYYY
  • Please note that we will not contact your employer unless they request information for matched funding.
  • Sponsorship

  • (Please use this space to tell us anything else interesting about you, information you think we should know etc.)
  • The Hospice Charity Partnership would like to keep you updated about our work and how your support is making a difference. Please tick here if you would like to hear from us.
  • Thank you so much for your support, it means a lot to all of us here at the hospice.

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