Couch to 5k

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Unique ID
Couch to 5k

Challenge yourself whilst supporting Trinity Hospice

Entry is just £10, with the sponsorship you raise going towards running our vital services and caring for all those who need us.
Adult Tickets
Price:
Adult Tickets quantity*
Hidden
Quantity total
Subtotal for tickets amount
£ 0.00

Your Details
Your online reference number (if you have one)

Title*
Other*

First Name*

Last Name*

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

Email Address*
Enter Email Confirm Email

Mobile/Telephone*

Keeping in Touch
We’d love to keep you updated on how your support is making a real difference to our patients and we may contact you by post or telephone to let you know about our services and other ways you can get involved, including Blackpool Bubble Rush. Please let us know if you are happy to hear from us by email and text.
Keep in Touch (Email)
Yes, I'd like to hear from you by email
Keep in touch (Phone & SMS)
Yes, I'd like to hear from you by text message
We promise never to sell your data. Please read our Privacy Policy for more information about how we use and protect your data.

If you are booking a team please provide a team name

How did you hear about this event?*

Sponsorship

For many, this event is about getting fit and either taking up or picking up running. It's also a chance though to support Trinity Hospice and the life-changing care we provide to people across the Fylde coast, 365 days a year.

That's why we're kindly asking all participants to raise sponsorship.

To get started, think about how much you might like to raise and let us know in the box below.
I pledge to raise:*
Please enter a number greater than or equal to 1.
Additional Donation
If you are not intending to raise sponsorship, please consider making a one off donation. This will be added to your total booking amount.
Hidden
Donation amount
Other*

Subtotal
£ 0.00
Would you like to Gift Aid your additional donation?

For every £1 that you donate, we can collect 25p from the taxman

I want to claim Gift Aid on my donations, any donations I have made in the last 4 years and any I make in the future to Trinity Hospice & Palliative Care Services. I am a UK tax payer and understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that tax year it is my responsibility to pay any difference.

Hidden
Gift Aid option*

Yes, I would like to add GiftAid to my donation

No, do not add Gift Aid
Participant Details
Please add the details of ALL the participants you are registering, including yourself if you are taking part.

Adult - Entry

Adult - Title Adult - First Name Adult - Last Name Adult - Date of birth Adult - T-shirt size Actions

There are no Entries.

Maximum number of entries reached.

I/we understand that I/we take part in this event at our own risk and that Trinity Hospice & Palliative Care Services cannot be held responsible for any loss or damage to personal effects, personal accident, injury or any public liability. I/we agree that any images taken during the event may be used for publicity purposes.
Declaration*
By entering this event you agree to the event terms and conditions
Total
£ 0.00

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Your Details

Keeping in Touch

Sponsorship

Additional Donation

Would you like to Gift Aid your additional donation?

Participant Details

95% of patients would recommend our services