charitymarathon-entry-bank | ふくいこどもホスピス

【For bank transfer customers only】

Entry Form

Please make your entry before the run.

■Please enter one person at a time, even if you have more than one member of your family participating in the event.

■All entry fees will be received by the organization as a donation. You can choose the entry fee (donation amount) from 1,000 yen, 3,000 yen, 5,000 yen, or 10,000 yen.

■We will send your bib number and bib name as part of the confirmation email. The number and bib name will be displayed as you have entered in the "Bib Number" and "Bib Name" sections.

■Original T-shirts are also available for sale. You may purchase a T-shirt without participating in this event.

■Entries will be accepted from August 1, 2023 to October 31, 2023.

■Results reporting pages will open on 1 October.

■Please click here to view our privacy policy.

Please fill out the form below and transfer the entry fee according to the instructions in the e-mail sent after your entry.
Fields marked with * are required.

You can choose from 1,000 yen, 3,000 yen, 5,000 yen, or 10,000 yen as your donation to the organization.

Entry fee

1,000 yen

3,000 yen

5,000 yen

10,000 yen

※It is free entry for children in the hospital.Please send us a message from “Contact Us”.

Applicant Information

Family name

First name

Address

Age (optional)

Phone number

Email address

Email address(for confirmation)

Bib Name

Bib Number (choose 4 digits you would like)

I agree to the Privacy Policy　　　Privacy policy

Thank you for your entry!You will receive an auto-reply email, please follow the instructions in the email to transfer the entry fee.

Please fill out the form below and transfer the entry fee according to the instructions in the e-mail sent after your entry. Fields marked with * are required.

Applicant Information

Please fill out the form below and transfer the entry fee according to the instructions in the e-mail sent after your entry.
Fields marked with * are required.