Own place event "*" indicates required fields Step 1 of 3 33% Fill in this form if you have purchased your own place in an event you want to support us at.There is no registration fee and you can set your own fundraising target. For more information on how your details will be used please see our privacy policy. Fields marked with a (*) must be completed.Please fill in your details Fields marked with a (*) must be completed.Before you start, please confirm that you have secured your own place in an event organised by a third party* Yes Name* First name* Last name* Date of Birth*DD/MM/YYYY Date of event* Name of event* Running Vest SizeTell us your size and we will send your St Mungo's running vest Small Medium Large Extra Large Address* Address line 1 * Address line 2 Town / City * County * Postcode * Country * CountryCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands HiddenPostcodeStart typing your postcode and choose from the addresses shown HiddenEnter address manually Enter address manually Email address* Phone number*Company (if applicable) Stay up to date with our work. We would like to keep in touch with our latest news and everything we are doing to end homelessness. Please let us know how you would like to hear about our projects and services, raising funds, campaigning and volunteering.We will only contact you in the way you ask us to and we will never sell or share your details. You have the right to ask us to stop processing your personal data at any time. To manage your preferences please contact us on 020 8600 3000 or supporter.care@mungos.org For further information please see our privacy policy.What is your fundraising target? Please tell us more-Please select-St Mungo’s websiteSocial MediaPast volunteerStaff member/current volunteerCorporate supporterOtherI would like to be contacted by: Email SMS Telephone I would prefer not to receive post I would prefer not to receive post St Mungo's Terms & Conditions* Tick to read and agree to the Terms and Conditions for this event When carrying out fundraising you must not act in any way that would harm our reputation. You confirm to the best of your knowledge that your general state of health is good and you take full responsibility for your fitness in taking part. You absolve us from any injury, loss or damage caused through your participation in the event. You give us permission to use any photographs or video taken of you to raise awareness of and/or money towards the charity’s work. If this is a problem, please contact the events team at events@mungos.org. St Mungo’s will use your contact preferences to communicate with you after your event. If you would like to change these at any time, please contact our Supporter Care team: supporter.care@mungos.org or call 020 8600 3000. When you sign up for one of our events we may collect personal information that might include name, date of birth, email address, postal address, telephone number and credit/debit card details. For further information on this please see our privacy policy: mungos.org/privacy-policy CommentsThis field is for validation purposes and should be left unchanged.
