Dear UK Sepsis Runner


Thank you for supporting the UKST by taking part in the most exciting of road races - The Birmingham International Marathon


In order to progress your application for a place in the BIM  we require that you complete the registration process below.


The cost of Registration for the event is £55, this will cover the cost of  administration of the event.


Once this form is completed you will be sent a confirmation email. Upon receipt of payment & registration we will forward to you your token for the Birmingham International Marathon Live Registration that will enable you to fully complete the whole process - please be patient as this my take upto two weeks to process. Please feel free to call us to discuss your application.


We really really appreciate what you are doing for us, a very big thank you and good luck for what promises to be an amazing race!


Feel free to send us details of your training or images we can use on social media to promote your participation, everyone enjoys seeing the hard work behind the success. If you have not already contacted us please email to claim your very own UKST Running Vest. 


Thank you for choosing us we will cheer you on all the way and offer our support if needed. Please remember competitive running requires a lot of planning and a training schedule tailored to your own personal needs.



Kind regards


The UK Sepsis Trust Team

Birmingham B2 5SN

Charity No: 1158843 Registered in England & Wales, Company number: 8644039
Sepsis Enterprises: Company Number 9583335, VAT reg number: 225570222


T: +44 (0)800 389 6255|| W: | Twitter: |F: |


150,000 people are affected by sepsis with 44,000 deaths in the UK every year.



By completing the enclosed registration you accept all of the conditions below.


By participating in this event you accept these terms and conditions of entry and acknowledge that The UK Sepsis Trust has no responsibility or liability for any loss or damage to your belongings. You also acknowledge and accept that The UK Sepsis Trust will not be liable for death or personal injury unless it is caused as a direct result of The UK Sepsis Trusts’s negligence.

Competitive Running is a potentially hazardous activity. By signing the entry form and participating in the Race, I agree to abide by the rules of this event and certify that I am fully and physically fit to participate in the race, and that I fully accept the Waiver of Liability: I understand that participating in the event may involve real risk of serious injury or even death from various causes including but not limited to falls, over exertion, dehydration, contact with other participants, spectators, road users, effect of weather and condition of the road. I voluntary assume all the risks associated with my participation in the event or any activity associated with it.





Getting to know you

We like to know who our supporters are and what has motivated you to help make a difference. If you would like to share your reasons with us please write your story in the box provided, it will always be treated in confidence and not shared without your permission.

Have you a story you would like to share?
14/06/2016 Date of Birth*
Next of Kin Details

Running Vests

We will despatch your vests nearer the time - just complete your gender & size and we will do the rest. Keep on running.................





Running Vest Size & Gender eg F xl

Event Cost

BIM New Ticket

Contact Information

State / Province*
Confirm Email*

Payment Information

Yes, reclaim Gift Aid on all my donations so that each £1 is worth an extra 25p to The UK Sepsis Trust Limited. This declaration is valid for the current tax year (6 April to 5 April), the previous four tax years and all future years. I confirm I have paid or will pay an amount of Income Tax and/or Capital Gains Tax for the year of a donation that is at least equal to the amount of tax that all the charities and Community Amateur Sports Clubs (CASCs) that I donate to will reclaim on my gifts for the current tax year. I understand that other taxes such as VAT and Council Tax do not qualify.
Name on Card*
Card Number*
Additional Comments

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