Sign up to The Chocolate 5k

Sign up to The Chocolate 5k 2026

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Ticket type you'd like to purchase*

Please note – a child’s ticket MUST be purchased alongside an adult’s ticket.

Adult

Child (under 18s)

Adult and child

Family (two adults and two children)

Under 5s (with goodie bag)

Under 5s (without goodie bag)

Adult combi ticket with Run Santa Run

Child combi ticket with Run Santa Run

Adult ticket

Price:

Quantity – adult ticket*

Please enter a number from 1 to 4.

Adult one's details*

First Surname Email

Adult two's details*

First Surname Email

Adult three's details*

First Surname Email

Adult four's details*

First Surname Email

Child ticket (under 18s)

Price:

Quantity – child ticket*

When purchasing a child’s ticket, and adult ticket must also be purchased and a responsible adult needs to be registered to take part in the event.

Please enter a number from 1 to 4.

Responsible adult's details*

Please ensure you select and pay for an adult ticket too (above).

First Surname

Child one's details*

First Surname

Child two's details*

First Surname

Child three's details*

First Surname

Child four's details*

First Surname

Under 5s (with goodie bag) ticket

Price:

Quantity – under 5s (with goodie bag)*

When purchasing an under 5’s ticket, and adult ticket must also be purchased and a responsible adult needs to be registered to take part in the event.

Please enter a number from 1 to 4.

Responsible adult's details*

Please ensure you select and pay for an adult ticket too (above).

First Surname

Child one's details*

First Surname

Child two's details*

First Surname

Child three's details*

First Surname

Child four's details*

First Surname

Under 5s (without goodie bag) ticket

Price:

Quantity – under 5s (without goodie bag) ticket*

When purchasing an under 5’s ticket, and adult ticket must also be purchased and a responsible adult needs to be registered to take part in the event.

Please enter a number from 1 to 4.

Responsible adult's details*

Please ensure you select and pay for an adult ticket too (above).

First Surname

Child one's details*

First Surname

Child two's details*

First Surname

Child three's details*

First Surname

Child four's details*

First Surname

Family ticket

Price:

Adult one's details*

First Last name Email

Adult two's details*

First Last name Email

Child one's details*

First Last name

Child two's details*

First Last name

Adult and child

Price:

Adult's details*

First Last name Email

Child's details*

First Last name

Adult combi ticket with Run Santa Run

£10 saving – includes Santa suit

Price:

Quantity – Adult combi ticket with Run Santa Run*

Please enter a number less than or equal to 4.

Adult's details*

First Last name Email

Adult two's details*

First Last name Email

Adult three's details*

First Last name Email

Adult four's details*

First Last name Email

Child combi ticket with Run Santa Run

£10 saving – includes Santa suit

Price:

Quantity – Child combi ticket with Run Santa Run*

When purchasing a child’s ticket, and adult ticket must also be purchased and a responsible adult needs to be registered to take part in the event.

Please enter a number less than or equal to 4.

What size child's suit do you need?*

Childs 5-8 size

Childs 9-11 size

How many size 5-8 do you need?*

Please enter a number less than or equal to 4.

How many size 9-11 do you need?*

Please enter a number less than or equal to 4.

Responsible adult's details*

Please ensure you select and pay for an adult ticket too (above).

First Surname

Child's details*

First Last name

Child two's details*

First Last name

Child three's details*

First Last name

Child four's details*

First Last name

Lead booker's title*

Lead booker's first name*

Lead booker's surname*

Lead booker's address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Lead booker's email address*

Lead booker's phone number*

Emergency contact name*

Please note if you are signing up as a group, this contact will be used as the whole teams’ emergency contact

Emergency contact number*

What starting wave would you/your team prefer to be in?*

Do you, or does anyone in your group, have any dietary requirements?*

Yes

Please give details of what dietary requirements and how many people*

Do you, or does anyone in your group, have any medical conditions we should be aware of?*

If no, please write N/A

Will you be fundraising or would you like to make a donation in lieu of sponsorship today?*

I/we will be fundraising (e.g. asking family/friends to sponsor me)

I/we will make a donation in lieu today

Neither of the above – I/we will decide at a later date

Would you like to buy a Chocolate 5K t-shirt?*

Yes

T-shirts

Price:

Quantity – t-shirts*

Please enter a number from 1 to 8.

T-shirt one size

T-shirt two size

T-shirt three size

T-shirt four size

T-shirt five size

T-shirt six size

T-shirt seven size

T-shirt eight size

What colour of T-shirt would you like?*

T-shirt colours are subject to availability

Purple

White

I would like to donate:*

£10

£20

£50

£100

Other

£10 donation in lieu of sponsorship

Price:

£20 donation in lieu of sponsorship

Price:

£50 donation in lieu of sponsorship

Price:

£100 donation in lieu of sponsorship

Price:

What would you like to donate in lieu of sponsorship?*

With Gift Aid, your donation of £0 would be worth £0.00 at no extra cost to you.

Add Gift Aid and boost your donation By ticking yes above, the value of your donation will be increased at no extra cost to you. Yes, I am a UK tax payer and wish to join the Gift Aid Scheme I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed in that tax year it is my responsibility to pay any difference. Please treat as Gift Aid donations all qualifying gifts of money made today, in the past four years and the future. Please let us know if your name or home address changes, if you wish to cancel your Gift Aid declaration, or if your tax circumstances change.

I’m signing up to The Chocolate 5K…

Please explain

I heard about The Chocolate 5K from…

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By signing up to this campaign, you are consenting to receiving ALL information about this campaign. We would ALSO like to keep in touch with you about our vital work and update you on our news and fundraising activities. Please tell us if you would be happy for us to contact you:

By email

By SMS

We may also contact you by telephone and/or post. If you wish not to be contacted by post or telephone, please tick here:

Opt out of telephone

Opt out of post

Can we contact you about Marketing and PR (e.g., to feature in a case study)?

Yes

By signing up to this event I agree to the following T&Cs:*

I / we accept that by signing up to this event I / we are consenting to receiving ALL information about this event, including a fundraising pack and sponsorship forms. I / we accept the responsibility of informing Birmingham Hospice should I wish not to receive event specific communications. 2. I / we acknowledge that Birmingham Hospice will take all reasonable steps to minimise the risk of accident or injury to participants during this event. I / we accept full responsibility for ourselves whilst participating in this event and understand that Birmingham Hospice cannot accept liability for any loss or damage to personal property, injury or death. I / we also accept that I am responsible for my dog/s if I bring them to the event. Birmingham Hospice are not responsible should for my dog being around chocolate and cannot accept liability for any injury or death. 3. I / we confirm that I am sufficiently fit and healthy to take part in this event. Should this change, I / we will seek medical advice prior to the event. I / we accept that it is it my / our responsibility when booking to let Birmingham Hospice know of any dietary requirements, allergies or intolerances when signing up to the event, and additionally when checking in on the day of the event, to ensure any needs can be catered for. 4. I/ we understand that under 18 year olds must be accompanied by a registered adult at all times. 5. I / we understand that Birmingham Hospice may photograph or film me as a participant, and that such photographs and footage may be used for commercial and / or fundraising purposes in the future. I / we accept the responsibility of informing Birmingham Hospice should I wish to not be photographed. 6. I/ we take full responsibility for any costs attributed to our participation in this event and will not deduct any expenditure from funds raised. I / we accept the responsibility to ensure that all fundraising monies/donations received in connection with this event are paid to Birmingham Hospice (we kindly ask that you do this as soon as possible after the event). 7. I / we accept that should I / we no longer be able to take part in this event, I / we will be unable to claim a refund for my registration fee. Any sponsorship collected will be refunded to the donor or gifted to Birmingham Hospice on instruction 8. I / we agree to abide by any rules, instructions and regulations given before, or on the day of the event by event officials. I / we accept Birmingham Hospice’s right to refuse entry to participants. 9. I / we accept that Birmingham Hospice reserves the right to reduce, alter, change or cancel the event to accommodate unexpected conditions or complications on the day that may affect participants, volunteers and staff.

I / we agree

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