St Clare Hospice Bishop's Stortford Starlight Walk
Be a star for the night!
Online entry is now closed. You can register on the night for £20 from 6.30-7.30pm at Bishop's Stortford Rugby Club.
Myself and everyone stated on this form are all accepting the following Terms and Conditions:
1. I am taking part in the Starlight Walk on Friday 16th September 2011 in Bishop's Stortford at my own risk and that St Clare Hospice will not
accept liability for any accidents, injury, loss or damage to persons or property as a result of my participation.
2. I agree that I should seek medical advice from my GP if I am in any doubt as to my ability to participate in the event.
3. I will not receive a refund if I am unable to attend on the night, my entry fee will be treated as a donation to the charity.
4. My place is not transferable to another person.
5. I am aged over 16 years old.
6. If I am aged 12-15 years old, I will be accompanied by a responsible adult who is registered to take part and it is their complete responsibility to look after me. My parent/guardian has signed below to allow me to take part. My parent/guardian and I agree that I will abide by these terms and conditions.
7. I will not bring any dogs with me (only Guide or Hearing dogs are permitted to take part).
8. I will not consume any alcohol prior to or during the event.
9. By registering for this event, I am giving my consent for any photographs or videos taken of me on the night to be used in future publicity.
St Clare Hospice
Hastingwood Road
Hastingwood
Essex CM17 9JX
General Enquiries
01279 773700
Patient Services
(01279) 773 700
Advice Line
(01279) 773 773
St Clare Hospice is a registered charity
No. 1063631
St Clare Hospice is a registered company
No. 3398955