London Marathon Charity Place Applications | Greenwich & Bexley Community Hospice

With only a limited number of spaces available each year, we ask you to fill in the questions below. This will allow us to view all applications and allocate our places fairly. Thank you for thinking of the hospice for this exciting challenge.

First name

Last name

Address

Address line 1

Address line 2

Address line 3

City/town

Postcode

Email address

Phone number

Have you applied to the official London Marathon public ballot?

Please share your reasons as to why you would like to run for Community Hospice. Please give as much detail as you can.

Have you taken part in a marathon before? Please summarise here:

Do you have a medical condition or disability that may prevent you taking part in any of the activities or that we should be aware of? Please state any here:

Please provide an Emergency contact name:

Please provide an Emergency contact number:

Do you work for a company that offers Match Funding? Please give the Name of employer & your job title.

How did you hear about this event?