Register your interest with Jersey Hospice Care

Please ensure that you complete this enquiry form in full to register your interest with Jersey Hospice Care, ensuring that all questions marked with a '*' are answered.

Please be careful when completing all fields as this information will be provided to Jersey Hospice Care as part of their decision making process. If you are chosen, you will receive an email notification containing information on how to support Jersey Hospice Care.

 *
 *
 *
 *
 *
 *
 *


Participants must be 18 years old on race day.

 *
 *
 *
 *
 *
 *
 *
 *
 *
 *
 *
 *