Charity Places

Thank you for interest in running for #TeamBCH. Please choose your preferred charity place from the options below and complete the form. If successful a member of the fundraising

All our charity places are free of registration and come with a minimum fundraising target as stated in the selection process.

Event Applyed For (required)

First Name (required)

Surname (required)

Address (required)

City (required)

Post Code (required)

Email Address (required)

Contact Number (required)

Date Of Birth

Occupation

Company (required)

Have you taken part in any other fundraising activities for Birmingham Children’s Hospital? (required)

YesNo

If you answered yes, please give details of the most recent

Amount Raised

Do you have a connection to Birmingham Children’s Hospital? Please tell us about your story

How Do You Plan To Raise The Minimum Funds?

Vest / Jersey Size (required)

By completing this form I understand that if accepted for a Birmingham Children’s Hospital Charity place on the above selected event, I am undertaking a pledge to raise the minimum stated for my chosen event (required)

Yes

Send