Registration

Get together with your friends, family and colleagues for a night out with a difference.

By taking part in this event and raising sponsorship you will help to ensure that the Hospice is able to provide the essential care for future patients and their families.

Entry fee £15.

Please help us raise funds by adding any sponsorship on top of your entry if you can.

We will be contacting registrants regarding t-shirt sizes soon.

Calling All Men! - We Need You Too!

Boyfriends, husbands, fathers, brothers, sons can help by being a marshal on the night.
Call 01622 790195 for more information.

Download Registration Form

Click to download the PDF registration form

Fill in the form and send it right back to us. Alternatively you can telephone our Fundraising office on 01622 790195 or fax it to 01622 791305.

Please note: Only one entry per form will be accepted.

Get the Adobe PDF Reader here.