Skip to content
Basket
Make a Referral
Donate
How we can help
Open submenu
Care services
Open submenu
Our Inpatient Units
Specialist Community Palliative Care Team
Hospice at Home
Fatigue, Anxiety and Breathlessness Programme (FAB)
Therapies
Living Well Centre
Wellbeing and bereavement support
Personal Health Budget and Social Team
Education & Research
Open submenu
Courses and Training
Research
Clinical placements
Resources for professionals
Resource centre
Patient and family stories
Get Involved
Open submenu
Ways to give
Open submenu
Donate
Regular giving
Giving in celebration
Giving in memory
Leave a gift in your will
TLC Lottery
Events and appeals
Open submenu
Bulls in the City
Birmingham Hospice Crisis Appeal
Organise your own fundraising
Open submenu
Join a fundraising group
Fundraising in education
Volunteer with us
Fundraising through work
Campaign for us
About us
Open submenu
Contact us
Open submenu
Feedback and complaints
Join us
Open submenu
Why work for us?
Our story
Open submenu
Our vision, mission and values
Latest News
Our history
Why we need your support
Our leadership
Reports, accounts and policies
Shop
Open submenu
Online shop
Our shops
Donate goods
House clearance service
Free furniture collections
Volunteer
Donate
Make a Referral
Search our site
Basket
How we can help
Open submenu
Care services
Open submenu
Our Inpatient Units
Specialist Community Palliative Care Team
Hospice at Home
Fatigue, Anxiety and Breathlessness Programme (FAB)
Therapies
Living Well Centre
Wellbeing and bereavement support
Personal Health Budget and Social Team
Education & Research
Open submenu
Courses and Training
Research
Clinical placements
Resources for professionals
Resource centre
Patient and family stories
Get Involved
Open submenu
Ways to give
Open submenu
Donate
Regular giving
Giving in celebration
Giving in memory
Leave a gift in your will
TLC Lottery
Events and appeals
Open submenu
Bulls in the City
Birmingham Hospice Crisis Appeal
Organise your own fundraising
Open submenu
Join a fundraising group
Fundraising in education
Volunteer with us
Fundraising through work
Campaign for us
About us
Open submenu
Contact us
Open submenu
Feedback and complaints
Join us
Open submenu
Why work for us?
Our story
Open submenu
Our vision, mission and values
Latest News
Our history
Why we need your support
Our leadership
Reports, accounts and policies
Shop
Open submenu
Online shop
Our shops
Donate goods
House clearance service
Free furniture collections
Volunteer
I’m looking for
Search for:
Search
Home
−
Tough Mudder Midlands
Sign up to Tough Mudder Midlands 2025
Sign up to Tough Mudder
"
*
" indicates required fields
Ticket type you'd like to purchase
*
5k route – charity place (£25)
15k route – charity place (£30)
5k team ticket – charity place (2 or more runners – £20)
15k team ticket – charity place (2 or more runners – £25))
Own place (bought through organisers)
Which date would you like to select?
*
If you would like to take part in another location, please email events@birminghamhospice.org.uk
Please select
Saturday 5 July
Sunday 6 July
5k route
Price:
Sponsorship pledge
*
I pledge to raise a minimum of £250 in sponsorship.
Quantity – 5k route
*
Please select
1
2
3
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
15k route
Price:
Sponsorship pledge
*
I pledge to raise a minimum of £300 in sponsorship.
Quantity – 15k route
*
Please select
1
2
3
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
5k team ticket
Price:
Sponsorship pledge
*
We pledge to raise a minimum of £250 in sponsorship (per person)
Team name
How many team members?
*
Please select
1
2
3
4
Team member one's details
First
Surname
Email
Team member two's details
First
Surname
Email
Team member three's details
First
Surname
Email
Team member four's details
First
Surname
Email
15k team ticket
Price:
Sponsorship pledge
*
We pledge to raise a minimum of £250 in sponsorship (per person)
Team name
How many team members?
*
Please select
1
2
3
4
Team member one's details
First
Surname
Email
Team member two's details
First
Surname
Email
Team member three's details
First
Surname
Email
Team member four's details
First
Surname
Email
Running vest or t-shirt options
*
Please select
I would like a free running vest when I hit £50 in sponsorship (own place entries)
I would like a free t-shirt when I hit £50 in sponsorship (own place entries)
I would like to purchase a t-shirt for £6
I would like to purchase a running vest for £8
I do not want to purchase a t-shirt or running vest / will decide at a later date
T-shirts
Price:
Quantity – t-shirts
Please select
1
2
3
4
T-shirt one size
Please select
XS
S
M
L
XL
XXL
T-shirt two size
Please select
XS
S
M
L
XL
XXL
T-shirt three size
Please select
XS
S
M
L
XL
XXL
T-shirt four size
Please select
XS
S
M
L
XL
XXL
Running vest
Price:
Quantity – running vests
Please select
1
2
3
4
5
Running vest one size
Please select
XS
S
M
L
XL
XXL
Running vest two size
Please select
XS
S
M
L
XL
XXL
Running vest three size
Please select
XS
S
M
L
XL
XXL
Running vest four size
Please select
XS
S
M
L
XL
XXL
Total
Title
*
Please select
Mr
Mrs
Miss
Ms
Mx
Prefer not to say
Dr
First name
*
Surname
*
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Email address
*
Phone number
*
Emergency contact name
*
Emergency contact number
*
I’m signing up to Tough Mudder…
Please select
In memory of a loved one
To support Birmingham Hospice
For fun
I have a friend/family member being cared for by Birmingham Hospice
As a previous participant
I work/volunteer for Birmingham Hospice
Other
Please explain
I heard about Tough Mudder from…
Please select
Facebook
Instagram
LinkedIn
Email
Word of mouth
Leaflet
Poster
Banner
Mailing
Hospice website
Other
Please explain
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
No
By signing up to this event I agree to the following T&Cs:
*
– If signing up to a Tough Mudder event with a charity place, I / we pledge to raise sponsorship minimum of £250 in the 5k race or £300 in the 15k race (additionally to the sign up fee). I / we understand that 50% of my fundraising £125 or £150 needs to be raised at least one month before the event date, and all monies raised will be donated only to Birmingham Hospice (The Hospice Charity Partnership). This will be with the charity no later than 6 weeks after my / our event date. If I / we are signing up to run in a Tough Mudder Event with my / our own place, I / we have already purchased or will be purchasing a place from the organisers. I / we agree all monies raised will be donated only to Birmingham Hospice (The Hospice Charity Partnership), unless confirmed otherwise with the charity. If fundraising for Birmingham Hospice alongside an additional charity/s, this will be communicated with both Birmingham Hospice, the other charity and across all of my / our fundraising to ensure full clarity. I / we accept that by signing up to a Tough Mudder event, I / we am / 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 / we wish not to receive event specific communications. I / we understand that Tough Mudder 5k and Tough Mudder 15k participants must be at least 14 years old. Participants for Infinity must be at least 14 years old, while Toughest Mudder Participants must be at least 18 years old. Own place Lidl Mudder Participants must be between the ages of 5 and 12. Any participants under the age of 18 taking part in the Lidl Mudder, Tough Mudder 5k, and Tough Mudder 15k will need to be accompanied on course by a chaperon who is 18+ years old. I / we accept full responsibility for ourselves whilst participating in this third party event and understand that Birmingham Hospice cannot accept liability for any loss or damage to personal property, injury or death. I / we confirm that I am / we are 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 take full responsibility for any costs attributed to my / our participation in this event and will not deduct any expenditure from funds raised. 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 / our registration fee. Any sponsorship collected will be refunded to the donor or gifted to Birmingham Hospice on instruction. I / we agree to abide by any rules, instructions and regulations given before, or on the day of the event by the Tough Mudder event officials and organisers. I / we accept that if I / we can no longer take part in 2025 or the event is cancelled, there is no guarantee that my / our place will be rolled over to the following year, but the charity will endeavour to do so or help where possible (this is completely dependent on the third party organiser).
I / we agree
Coupon
Total
Credit Card