Tell us about your fundraising event or idea

Name of your event (leave blank if you don't know)

Date of your event (leave blank if you don't know)

Event end date (leave blank if you don't know)

How much are you hoping to raise?

Your details

Title

If other title

First name

Last name

Email

Phone number

Postcode

Building name/number

Address line 1

Address line 2

Address line 3

Town/city

County

Country

Final details

We will send you a free St John Ambulance running vest to wear on the day. Please let us know your size:

S

M

L

XL

I don't need a vest

We can also provide you with iron on letters. Please let us know what 8 letters you would like:

Confirmation

I confirm I have secured my own place through the race organisers for this event

Read our challenge event terms and conditions here

Terms and conditions

I confirm I have read the terms and conditions

Stay in touch

We’d love to keep you updated about our work and how you can help us to save lives and support communities. We’ll stay in touch with you by post and phone. It helps us to keep our costs down if we can email or text you - but it’s entirely up to you.

You can change how you hear from us or ask us to stop communicating with you at any time. Email us at updatemy.details@sja.org.uk.

You can find out more about how we use your information in our Privacy Policy.

Communication options

Please tick the box if you are happy to receive emails

Please tick the box if you are happy to receive text messages