St. Vincent's Hospice
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Step Up for St. Vincent’s Sunday 19 March 2017 start from Castle Semple, Lochwinnoch, at 11am. £10 entry fee adults – Children can register for free. To register please complete this registration form. All registration fees are non-refundable. There is no minimum sponsorship for this event, please set yourself a fundraising target.
Home telephone number
Age of participant
What size of t-shirt will you require
In case of an emergency, whom should we contact?
How would you like to pay for your registration
Under 16 - No payment required
If you would like to make an online payment, please follow the link to Paypal. If paying by cheque, please make the cheque payable to St Vincent's Hospice and return it to St Vincent's Hospice Step Up Registration, Midton Road, Howwood, PA9 1AF
Terms and conditions: I agree to take part in this event entirely at my own risk. I agree that St. Vincent's Hospice, its sponsors, the event organisers, contractors and agents shall not be liable in any way for any injury, loss, damage or death that might occur as a result of my participation in the event. I am not aware of any medical condition or other reason why I should not participate in the event. Whilst there is no set minimum sponsorship for this event, I understand that the place has been granted to me at a cost to the charity and I pledge to raise as much sponsorship money as I can and I will collect and deliver it to the charity within 30 days after the event. St. Vincent's Hospice and relevant event organisers reserve the right to cancel the event or alter the date or time of the event for any reason. If the event is cancelled a full refund will be oﬀered (excluding registration fee). By signing this form I confirm that I have read and understood the terms and conditions set out above and consent to St. Vincent's Hospice holding my personal details on a confidential basis for the express purpose of participating in the event. By taking part, all participants confirm they are happy for any stories or photographs taken during this event to be used by St. Vincent's Hospice to publicise events and St. Vincent's Hospice generally. We would like to send you information from time to time via post, email or text message about our activities (including fundraising), and other relevant information that we think will interest you.
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Please tick to confirm that you have read and understood the terms and conditions