Event Registration

Registering for our event
We’re delighted to see that you would like to register for our event. To book your place please complete the booking form below or for further details contact our Fundraising Team on 020 8319 9230 or email at fundraising@gbch.org.uk

Your details

First name*

Surname*

Address*

Street Address Address Line 2 City County Postcode

Email*

Enter Email Confirm Email

Phone*

Date of birth*

How did you hear about the event?*

Next of kin details

Next of kin - first name*

Next of kin - surname*

Next of kin - phone*

Next of kin - email*

About you

Do you have a personal experience, story or reason why you have chosen to support the Hospice?

If so, please share the details here:

Do you have a reasonable level of fitness?

Please summarise here:

Do you have a medical condition or disability that may prevent you taking part in any of the activities or that we should be aware of?

Please state any here:

Do you have any allergies or particular dietary requirements?

If none, please state 'none' below.

Do you work for a company that offers Match Funding?

If so, please complete the following details:

Name of employer:

Your job title:

Fundraising

To secure your place, we ask participants to pay a non-refundable registration fee of £75 and to raise a minimum of £750 in sponsorship for the Hospice.

Please give details of how you plan to fundraise for this event:

Product Name*

Price:

Total

£ 0.00

Participating*

I understand that I take part in this event at my own risk and that Greenwich & Bexley Community Hospice cannot be held responsible for any loss, damage, or injury, however caused as a result of the event. I agree that any images taken during the event may be used for publicity purposes

Cancellation costs*

I understand that the event organiser will charge Greenwich & Bexley Community Hospice £150 if I cancel my Wing Walk 6-weeks prior to the event. I agree to cover this cost if I cancel within this period

Weight limit*

I understand that the event organiser will charge £150 to Greenwich & Bexley Community Hospice if I do not show up to the event or I am over the strict weight limit of 85kg. I agree to cover this cost if needed

We would like to add you to a Whatsapp group with other participants of this event. It is a quick and easy way for us to share information with the group - and for you to share photos etc afterwards.

I agree to being added to a Whatsapp group and receiving information and fundraising support via whatsapp for the purposes of this event

By registering for this event we will contact you by post and email about the event. We would also love to stay in touch to tell you about the amazing difference that you’ve made, update you with the work we are doing and other ways to support. We want you to be completely happy with how we communicate with you and you can change your mind at any time. Call 020 8319 9230 or email fundraising@gbch.org.uk

We’d love to keep you updated about our work and how you are making a difference to the people we support. We would like to send you information about our fundraising and events, and other ways in which you can help us. We will write to you by post unless you ask us not to. Please tell us if there are other ways you’d like to hear from us.

Please select how you would like to be contacted.

Yes, I am happy to receive occasional phone calls
Yes, I am happy to receive text messages
Yes, I am happy to receive emails
No, please don’t send me information by post

I would like to make an additional donation to support the work of the Hospice

Boost your donation by 25p of Gift Aid for every £1 you donate
Gift Aid is reclaimed by the charity from the tax you pay for the current tax year. Your address is needed to identify you as a current UK taxpayer.

Gift aid

I confirm that I am a UK Income or Capital Gains taxpayer. I have read this statement and want to Gift Aid this donation and any donations I make in the future or have made in the past 4 years to Greenwich & Bexley Community Hospice. I understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that tax year it is my responsibility to pay any difference. I understand the charity will reclaim 25p of tax on every £1 that I have given. I will notify Greenwich & Bexley Community Hospice if my name, home address or tax-paying status changes.