Event registration Event Name 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.ukHow did you hear about this event?*Social mediaHospice websiteBannersLetter/emailPosterPressThrough a friendTicketsTicketNo tickets foundQuantityPlease enter a number less than or equal to 5.Total £ 0.00 Your detailsFirst name* Surname* Date of birth* DD slash MM slash YYYY Anyone under 16 years old must be accompanied by an adult who is also registered and participating in their own name and not simply acting as a chaperone.Name of accompanying adult* Parent/guardian deceleration* I understand that the child named above takes part in this event at his/her own risk and that Greenwich & Bexley Community Hospice cannot be held responsible for any loss, damage or injury however caused as a result of this event. I agree that any images taken during the event may be used for publicity purposes. Address* Street Address Address Line 2 Town/City County AvonBedfordshireBerkshireBuckinghamshireCambridgeshireCheshireClevelandCornwallCumbriaDerbyshireDevonDorsetDurhamEast SussexEssexGloucestershireHampshireHerefordshireHertfordshireIsle of WightKentLancashireLeicestershireLincolnshireLondonMerseysideMiddlesexNorfolkNorthamptonshireNorthumberlandNorth HumbersideNorth YorkshireNottinghamshireOxfordshireRutlandShropshireSomersetSouth HumbersideSouth YorkshireStaffordshireSuffolkSurreyTyne and WearWarwickshireWest MidlandsWest SussexWest YorkshireWiltshireWorcestershireClwydDyfedGwentGwyneddMid GlamorganPowysSouth GlamorganWest GlamorganAberdeenshireAngusArgyllAyrshireBanffshireBerwickshireButeCaithnessClackmannanshireDumfriesshireDunbartonshireEast LothianFifeInverness-shireKincardineshireKinross-shireKirkcudbrightshireLanarkshireMidlothianMorayNairnshireOrkneyPeeblesshirePerthshireRenfrewshireRoss-shireRoxburghshireSelkirkshireShetlandStirlingshireSutherlandWest LothianWigtownshireAntrimArmaghDownFermanaghLondonderryTyrone Postcode Phone*Email* Enter Email Confirm Email 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 Please select how you would like to be contacted by the Hospice* Post Email Phone Text message I'd rather not be contacted by the Hospice 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 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 donateGift 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.