Harrogate District Chamber of Commerce News

Lets Glow

13 May 2017 by Vicky Findlow

A night-time neon community 5k raising funds for Saint Michael’s

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Registration Form About me:
Group Walkers:
Title:................  First Name:........................................  Last Name:.................................................................. Date of Birth:................................................  (Must be over the age of 18 to be lead contact) Address:.............................................................................................................................................................. .........................................................................................................   Postcode:............................................... Contact Number:.....................................................  Email:...........................................................................
(If you are walking as part of a group, please enter the names of your group below, Walkers under the age of 17 will be in the responsibility of the lead contact above unless otherwise stated. Please continue onto a separate page if necessary). Group Name:................................................................................................................................................................ Name 1: ...................................................  Date of Birth.....................  Email............................................................ Name 2: ...................................................  Date of Birth.....................  Email............................................................ Name 3: ...................................................  Date of Birth.....................  Email............................................................ Name 4: ...................................................  Date of Birth.....................  Email............................................................ Name 5: ...................................................  Date of Birth.....................  Email............................................................ Name 6: ...................................................  Date of Birth.....................  Email............................................................
Yes please, I’d like to hear about Saint Michael’s services, activities and events  via post, [  ] email [  ] phone [   ] No thanks, I do not wish to hear about Saint Michael’s services, activities and events [  ]
Entry Fees: Early bird offer – hurry, £20 if you register before May 15th From May 15th   Adult: £22    Children (16 & under): £15(no children may walk unaccompanied) Please make cheques payable to: ‘Saint Michael’s Hospice’. [   ]   Alternatively to pay by card, please tick here and one of our team will call to take payment. Please register before Friday June 9 [   ]   I agree to the Let’s Glow terms & conditions available at www.saintmichaelshospice.org        Signed:......................................................................
Please return your completed registration form(s) and entry fee to: Saint Michael’s Hospice, Crimple House, Hornbeam Park Avenue, Harrogate, HG2 8QL. events@saintmichaelshospice.org        /saintmichaels         @mysaintmichaels
Please pick one of the following options: [   ]  Yes, I’d like to walk, please register mewith the above details and find enclosed my entry fee of £.................. (If registering as a group, please include their details and registration fees too.) [   ]  Instead of walking, I would like to volunteerat this fundraising event, please get in touch with me with further information.