Your details

Title*

Select one...MrMrsMissMsMxDrProfOther

Other title*

First name*

Last name*

Email address*

Mobile*Telephone

Address line 1*Address line 2City*County*Postcode*Country*

The event

Your fundraising

As you have your own place you are not required to pay a registration fee nor commit to fundraising for the hospice, though we actively encourage it.

Keeping in touch

We want to reach, connect and support more people, ensuring that everyone in our community can live well for as long as possible. We can’t do this without the help of our supporters and volunteers, which is why we’d like to keep in touch with you about our work, news and the various ways you can support us.

Please confirm below what you would like to hear from us about and how you would prefer to be contacted.

You can change the way you hear from us at any time by emailing us or calling 020 7432 8275. Please also see our Privacy Policy for how we collect, use and look after your information.

Terms and conditions

I have read and understood the terms and conditions for the event and would like to use my place to join Team St John’s.

The event

Which challenge event are you applying for?*

Select one...London Marathon 2024 – Charity Place

How did you hear about St John’s places for this event?*

Select one...The challenge event’s own websiteSt John’s websiteSt John’s FacebookSt John’s TwitterSt John’s InstagramA flyer/posterI work at St John’sI work for a corporate partner of St John’sWord of mouthOther

Your fundraising

We require you to agree to fundraising a minimum amount to secure your place on Team St John’s. This amount will always exclude Gift Aid.

Your details

Title*

Select one...MrMrsMissMsMxDrProfOther

Other title*

First name*

Last name*

Email address*

Mobile*Telephone

Address line 1*Address line 2City*County*Postcode*Country*

Keeping in touch

We want to reach, connect and support more people, ensuring that everyone in our community can live well for as long as possible. We can’t do this without the help of our supporters and volunteers, which is why we’d like to keep in touch with you about our work, news and the various ways you can support us.

Please confirm below what you would like to hear from us about and how you would prefer to be contacted.

You can change the way you hear from us at any time by emailing us or calling 020 7432 8275. Please also see our Privacy Policy for how we collect, use and look after your information.

Terms and conditions

I have read and understood the terms and conditions for the event and would like to apply for a place in Team St John’s.

Your details

Title*

Select one...MrMrsMissMsMxDrProfOther

Other title*

First name*

Last name*

Email address*

Mobile*Telephone

Address line 1*Address line 2City*County*Postcode*Country*

Emergency contact

We hope it will never be necessary to use this information, but if something should happen to you whilst you are at St John’s we need to know who to contact.

Title*

Select one...MrMrsMissMsMxDrProfOther

Other title*

First name*

Last name*

Email address*

Mobile*Telephone

Volunteering at the shop

How did you hear about this role?*

Select one...At the charity shopSt John’s websiteSt John’s FacebookSt John’s TwitterSt John’s InstagramA flyer/posterWord of mouthOther

Your availability

Your references

Please give the names and contact details of a person who has given their consent to be contacted. If possible, one referee should be someone who has known you personally, but not a member of your family, for at least three years.

Title*

Select one...MrMrsMissMsMxDrProfOther

Other title*

First name*

Last name*

Capacity known to you*

Email address*

Mobile*Telephone

Address line 1*Address line 2City*County*Postcode*Country*

Keeping in touch

We want to reach, connect and support more people, ensuring that everyone in our community can live well for as long as possible. We can’t do this without the help of our supporters and volunteers, which is why we’d like to keep in touch with you about our work, news and the various ways you can support us.

Please confirm below what you would like to hear from us about and how you would prefer to be contacted.

You can change the way you hear from us at any time by emailing us or calling 020 7432 8275. Please also see our Privacy Policy for how we collect, use and look after your information.