Great North Run 2023 Enquiry Form

Name*

First Name

Last Name

Date of Birth*

Address*

Address Line 1

Address Line 2

City

County/Region

Postcode

Email*

Confirm Email *

Mobile Number*

How did you hear about this event?

Event Information

Please explain why you would like to take part in the Great North Run for Eden Valley Hospice and/or Jigsaw. Please specify any personal connection.*

We like to make sure all our fundraisers have the best opportunities to raise as much money as possible. Please tick the box if you would like us to contact you about promoting your fundraising on social media and in the local press.

Please Tick Here

Date/Time