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St Catherine's

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St Catherine's

St Catherine's

Caring For You
How You Can Help
Our Shops
- - - Our Shops
For Professionals
About Us
- - - About Us
  - - Who We Are

St Catherine's

Midnight Walk

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Adult Participant Quantity

Price: £ 20.00

Quantity

Child Participant Quantity

Price: £ 12.00

Quantity

Your Details

Please enter your own details below to register yourself as a participant.

Title

First name(Required)

Last name(Required)

Email address(Required)

Telephone Number(Required)

More Information

Emergency Contact Name(Required)

Emergency Contact Phone Number(Required)

T-Shirt Size(Required)

Where did you hear about the event?

Reason for taking part(Required)

Other reason for taking part

Walking in memory of (name)

My – e.g. partner, mother

Tick here if they received care from St Catherine's

Yes, they received care from St Catherine’s

Choose a distance(Required)

2 miles

7 miles

13 miles

20 miles

I am registering as(Required)

an individual

a captain of a team

If you would like to join an existing team, please ask the team captain for your bespoke team sign up link.

Team Information

Please only include the details of additional participants below, and not your own details.

Team Name(Required)

Are there any other adults over the age of 18 in your team?

Yes

This does not include yourself. Please only include the details of other adult participants below.

Are there any under 18s on your team?

Yes

Under 18’s must be supervised at all times and must complete the same distance as their supervising adult.

Adult registration

Only include other adult participants, and not your own details.

Adult participants

First name(Required)

Last name(Required)

Child registration

Child participants

First name(Required)

Last name(Required)

Date of Birth(Required)

Day

Month

Year

T-Shirt Size(Required)

Payment details

Discount code

Credit Card

American Express

Discover

MasterCard

Visa

Supported Credit Cards: American Express, Discover, MasterCard, Visa

Card Number

Expiration Date Month Year

Security Code Cardholder Name

Billing address

Address(Required)

Postcode Street Address Address Line 2 City County Postcode Country

Optional Donation

Would you like to make a one-off donation?

£100

£50

£20

Other

No thanks

How much would you like to donate?(Required)

Gift Aid

Gift aid your donation
Boost your donation by 25% at no extra cost to you

If you are a UK taxpayer, please select the option below to Gift Aid your donation and make it worth 25% more, at no extra cost to you. Yes, I understand that St Catherine’s will reclaim 25p of tax on every £1 that I give and I would like St Catherine’s to treat all donations I have made in the past four years, present and future as Gift Aid Donations, until I notify you otherwise.

Are you a UK Tax Payer?(Required)

YES, I AM A UK TAXPAYER

NO, I AM NOT A UK TAXPAYER

Can we keep in touch?

We’d love to keep you updated about our work and how you are making a difference to the people we support. We would also like to send you information about our work and other ways in which you can help support us.

I am happy to receive occasional phone calls(Required)

Yes

No

I am happy to receive text messages Mobile(Required)

Yes

No

I am happy to receive emails(Required)

Yes

No

I am happy to receive information in the post(Required)

Yes

No

What mobile number is best for keeping in touch?(Required)

We will keep your details safe and secure. More information on how we use your data can be found in our privacy statement, which can be viewed on our website at www.stch.org.uk/privacy-statement. For further details, or if you would like to change your preferences on how we contact you, please call one of our Supporter Services team on 01293 447361.

Total

Terms and conditions(Required)

Tick to confirm you have read and agree to our event terms and conditions

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Email(Required)

Phone

This field is for validation purposes and should be left unchanged.

Caring For You
How You Can Help
Our Shops
- - - Our Shops
For Professionals
About Us
- - - About Us
  - - Who We Are

Caring For You
How You Can Help
Our Shops
- - - Our Shops
For Professionals
About Us
- - - About Us
  - - Who We Are

Contact

Grace Holland Avenue,
Pease Pottage,
West Sussex,
RH11 9SL

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© Copyright 2000-2024, All Rights Reserved.St Catherine’s Hospice Ltd. A Company Limited by Guarantee.
Registered in England no. 1525404. Registered Office: Grace Holland Avenue, Pease Pottage, West Sussex, RH11 9SL. Registered Charity No. 281362

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Donate to help local families

Currently, two out of three local people could be dying without the end of life care they need. Your donation will provide families with the support they deserve so no one has to face death and loss alone.

Monthly Payment

Single Payment

Help us be there for everyone when life comes full circle

£20 a month could...

help to provide tailored nursing care to people staying on our wards

£10 a month could...

mean more patients and their families can talk to a Support Visitor in the comfort of their own homes

£5 a month could...

give more people the chance to relax and enjoy a tipple from the drinks trolley

£100 could...

pay the costs of a patient's meals for a week, so they can enjoy quality food while they stay with us.

£50 could...

pay for a counselling session for a child coming to terms with their parent’s terminal diagnosis and illness.

£20 could...

pay for a phone call to our helpline, for someone who is struggling with fear and anxiety.

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