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Bristol Three Peaks

Saturday 1st August, 2020
Complete the Bristol Three Peaks during August, September or October

Booking Details

Participant Type: *
Adult £5.00
Title*
Forename*
Surname*
Address Line 1*
Address Line 2
Town*
County
Post Code*
Please separate your post code into the two boxes
E-mail*
If you are registering a child, please enter the email address of the parent/guardian
Please confirm your email address*
Telephone No.*
If you are registering a child, please enter the telephone number of the parent/guardian
Date of Birth*
Please select the t-shirt or running vest you require*
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.
In memory of
If you are taking part in memory of a loved one, please enter their name.
Relationship to you
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.
Declaration*
Yes.
I confirm that I/my group wish to enter this event and understand that I/we do so at my/our own risk and that St Peter's Hospice will not accept liability for any injury or loss as a result of my/our participation but I/we understand that my/our statutory rights remain unaffected. I/we agree that I/we should seek medical advice from my/our general practitioner if I am/we are in any doubt as to my/our physical ability to participate in the event. By completing this form you are giving your permission for any photographs taken of you/your group to be used in future publicity. I confirm I have read the terms and conditions for the event. I will follow all government guidance while participating in this challenge.