Apply for Strictly St. Luke’s

Please complete the following application form if you would like to apply for a place in Strictly St. Luke’s 2027 before the deadline date of Friday 4th September 2026. All applicants must be 18 or over to apply. We will contact you by the end of September to let you know if you have been successful.

About you

Strictly St. Luke’s is a fundraising activity to support the continued delivery of our essential palliative and end of life care services, in the communities of Basildon and Thurrock.

To receive a place in Strictly St. Luke’s, you are asked to pledge to raise sponsorship. There is a minimum sponsorship target of £1,000 per participant with points being awarded depending on the amount of money you raise.

Please refer to the Terms and Conditions for further details of the scoring system.

The answers given to the questions below will be used when assessing your application. Please provide as much relevant detail as possible.

Your fundraising

In the interest of Inclusivity, you may be partnered with a professional of the same gender.

Keeping in touch

You can update your preferences at any time by contacting [email protected] / 01268 524973. You can read our full privacy policy at: www.stlukeshospice.com/privacy-policy

Your privacy

In accordance with the data protection act St. Luke’s Hospice will store your data securely for the purposes of administering your support and communicating with you about our work and other ways you can support us. You can read our full privacy policy at: www.stlukeshospice.com/privacy-policy.