Hospice Heroes

9 March 2021 - 31 December 2026

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Last Name *

Age *

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Hospice Hero T-Shirt Size *

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Tell Us About Your Challenge

What is your challenge? *

When is your challenge? *

Why are you supporting St David's Hospice? *

My Contact Details

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My Address

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Address Line Two

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County

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Country *

Challenge Publicity

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Further Communications

We would like to contact you from time to time to keep you informed about our work and let you know about forthcoming fundraising initiatives which may be of interest to you. We promise that your information will be held securely, will not be shared or sold and we will not contact you unnecessarily. By ticking this box you are confirming that you are happy to hear from St David?s Hospice in the future. (optional)

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I would like to raise (�) *

I would like to complete (km) *

Hospice Heroes

My Details

Create or Join a Team

Tell Us About Your Challenge

My Contact Details

My Address

Challenge Publicity

Further Communications

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