Running Event - Independent Place Registration Form

Running Event - Independent Place Registration Form

We are delighted you would like to join our team and raise funds for us by taking on a sponsored run! Please fill in the form below to register your details with Dorothy House so we can send you the resources to enable you to get fundraising.
Name*

TitleFirst NameLast Name
Address*

Street Address

Street Address Line 2

Town / CityCounty

PostcodeCountry
Mobile Phone Number*
Number
Email*
example@example.com
Date of Birth*

DayMonthYear
Date
When you join Team Dorothy House for a running event we provide a FREE running vest or t-shirt, please choose one below.
Would you prefer a running vest or t-shirt?

Running VestRunning T-shirt
And which size would you like?

SmallMediumLargeXLXXL
Which running event are you taking part in and what is the distance?*
Please tell us why you are running?
Are you willing to share your story in more detail with us?

YesNo
Are you taking part as part of a business / group / team? If yes, please let us know the name of the business / group / team
Your support is vital to Dorothy House and we'd love to share our news, campaigns and events with you, as well as ways you could get involved and provide support. Please choose your preferences below:
Post*

YesNo
Email*

YesNo
Once submitted, you'll be sent out a your running vest or t-shirt with a welcome letter and one of our Community and Events Fundraiser will reach out to you if you haven't already been in contact with one.

Best of luck with your training and fundraising, and thank you!
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