Virtual Beaverbrooks Blackpool 10k Fun Run - Sign Up

Unique ID
VIRTUAL Beaverbrooks Blackpool 10K Fun Run – Registration

How it works
Simply complete the form and then you’re ready to go! Run 10K when you can and in a way that suits you, providing you’re in line with Government policy . This might be on a treadmill, along the prom or by doing several laps around a park.

TICKET PRICES
- Adults – £10.00
- Children (under 16s) – £10.00
Adult Tickets Price: £ 10.00
Adult Tickets quantity
Under 16s Tickets Price: £ 10.00
Under 16s Quantity
Quantity total
Subtotal for tickets purchased £ 0.00
Declaration*
- By entering this event you are agreeing to the Beaverbrooks Blackpool 10k Fun Run terms and conditions and to adhere to strict Government policies that are in place at this time.

Your details
Your online reference number (if you have one)
Title*
Other*
First Name*
Last Name*
Address* Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Email Address* Enter Email Confirm Email
Keep in Touch (email)
- Please tick here if you would like to receive emails about our work and future events and appeals.
Mobile/Telephone
Keep in touch (Phone & SMS)
- Please tick here if you are happy to receive occasional telephone calls about our work and future events and appeals.
- Please tick here if you are happy to receive SMS text messages about our work and future events and appeals.
How did you hear about the Virtual Beaverbrooks 10K Fun Run?*
My fundraising target
The Beaverbrooks Blackpool 10k Fun Run has a proud tradition of raising money for a wide variety of charities and you are free to choose to support a charity of your choice. If you are planning to raise sponsorship for Trinity Hospice though, please let us know how much you are planning to raise …
fundraising target
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.
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.
Gift Aid option*
- Yes, I would like to add GiftAid to my donation
- No, do not add Gift Aid
Keeping in touch
In future we will only be legally allowed to contact you if you haven given us your specific permission to do so. Therefore, if you wish to opt out of particular mailings, please choose from the following:
Opt out
- Events
- Newsletter
- Appeals
- Lottery & Raffles
- If you would prefer not to hear from us at all in the future, please tick here.
Or call us to specify which communications you would like to receive on 01253 952561.

Participant details
Please add the details of each participant you are registering, including yourself if you are taking part.
If you are entering as a team, please provide a team name:
Adult 1 – Title*
Adult 1 – First Name*
Adult 1 – Last Name*
Adult 1 – Date of birth* DD MM YYYY
Adult 2 – Title*
Adult 2 – First Name*
Adult 2 – Last Name*
Adult 2 – Date of birth* DD MM YYYY
Adult 3 – Title*
Adult 3 – First Name*
Adult 3 – Last Name*
Adult 3 – Date of birth* DD MM YYYY
Adult 4 – Title*
Adult 4 – First Name*
Adult 4 – Last Name*
Adult 4 – Date of birth* DD MM YYYY
Adult 5 – Title*
Adult 5 – First Name*
Adult 5 – Last Name*
Adult 5 – Date of birth* DD MM YYYY
Adult 6 – Title*
Adult 6 – First Name*
Adult 6 – Last Name*
Adult 6 – Date of birth* DD MM YYYY
Adult 7 – Title*
Adult 7 – First Name*
Adult 7 – Last Name*
Adult 7 – Date of birth* DD MM YYYY
Adult 8 – Title*
Adult 8 – First Name*
Adult 8 – Last Name*
Adult 8 – Date of birth* DD MM YYYY
Child 1 – Title*
Child 1 – First Name*
Child 1 – Last Name*
Child 1 – Date of birth* DD MM YYYY
Child 2 – Title*
Child 2 – First Name*
Child 2 – Last Name*
Child 2 – Date of birth* DD MM YYYY
Child 3 – Title*
Child 3 – First Name*
Child 3 – Last Name*
Child 3 – Date of birth* DD MM YYYY
Child 4 – Title*
Child 4 – First Name*
Child 4 – Last Name*
Child 4 – Date of birth* DD MM YYYY
Child 5 – Title*
Child 5 – First Name*
Child 5 – Last Name*
Child 5 – Date of birth* DD MM YYYY
Child 6 – Title*
Child 6 – First Name*
Child 6 – Last Name*
Child 6 – Date of birth* DD MM YYYY
Child 7 – Title*
Child 7 – First Name*
Child 7 – Last Name*
Child 7 – Date of birth* DD MM YYYY
Child 8 – Title*
Child 8 – First Name*
Child 8 – Last Name*
Child 8 – Date of birth* DD MM YYYY
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.
Total £ 0.00

How it works

TICKET PRICES

Your details

Would you like to Gift Aid your additional donation?

Keeping in touch

Participant details

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