Submit an Event

 
 

The Midnight Walk

Saturday 4th July, 2020
Take to the streets of Bristol for a festival themed Midnight Walk

Booking Details

Participant Type: *
Early Bird £17.50
Title*
Forename*
Surname*
Address Line 1*
Address Line 2
Town*
Post Code*
Please separate your post code into the two boxes
E-mail*
Please confirm your email address*
Telephone No.*
Date of Birth*
Emergency contact name*
Relationship to you*
Emergency Telephone*
Please select the route you would like to walk*
5 miles.
10 miles.
T-shirt size*
Small.
Medium.
Large.
XL.
XXL.
I will re-use last year's t-shirt.
In memory of
If you are taking part in memory of a loved one, please enter their name.
Relationship to you
Group name
Please enter your Group Name if you are taking part in a group.
Are you part of a work team?*
Yes.
No.
Company name
Please enter your Company Name if you are taking part with colleagues.
Do you have a particular reason for taking part in this event? If so, please share your story or experience with us here:
Can we contact you to discuss sharing your story to help raise more money through this event?
Yes.
No.
How did you hear about this event?*
Contact by email*
Yes.
No.
Contact by mail and phone: We would love to keep you updated with news about our work and fundraising activities and may contact you by mail or phone with updates or information we think you'd be interested in. See our privacy policy for more information on how we use and protect personal information. You can change the way we communicate with you at any time by calling us on 01275 391400, emailing communications@stpetershospice.org or writing to us St Peter's Hospice Fundraising Office, Block C, 2nd Floor, Estune Business Park, Wild Country Lane, Long Ashton, BS41 9FH.
Terms & Conditions*
Yes.
I confirm that I wish to enter The Midnight Walk and understand that I do so at my own risk and St Peter's Hospice will not accept liability for any injury or loss as a result of my participation but I understand that my statutory rights remain unaffected. I agree that I should seek medical advice from my general practitioner if I am in any doubt as to my physical ability to participate in the event. By completing this form I am giving my permission for any photographs taken of me on the night to be used in future publicity. I understand that the entry fee I have paid for this event is non-refundable and non-transferable. I confirm I have read the terms and conditions for the event.