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12noon Saturday 20 September
2008 - registration
from 11.00am
To be completed by
each team member and posted with entry fees to: Dreams Come True Charity,
Knockhundred House,
Knockhundred Row, Midhurst, West Sussex, GU29 9DQ
Name: .....................................................................................................................................
Address: ......................................................................................................................................
..........................................................................................................................................
.
Email:
..
Please PRINT CLEARLY as
this is where the Joining Instructions will be sent
Contact number / mobile
..........................................
Like to wear a Dreams t-shirt
on the day? Please give your size here
.....................
.
Team name ........................................................................................
.....................
Team Leaders name.............................................
.
(Main point of contact)
Team Mobile number on the day (very important).............................................................. ...
2nd team members name..
.
...
3rd team members name.. .
Health Declaration
* I will be at an adequate
fitness level to take part in this event and am a competent cyclist &
swimmer.
* Whilst all measures for
safety are catered for by the organisers, those taking part in
The Wight Challenge
do so at their own risk.
The promoters, organisers and landowners cannot
be held responsible for any
injuries to persons whilst
participating in the activities.
* Please advise of any food allergies (if none write NONE)
.......................................................................
Some foods that are provided
as refreshments may contain nuts or nut additives or ingredients that
are produced from genetically
modified soya beans, or
maize, or both
In case of Emergency
Next of kin ................................
..................Relationship................................
Contact details ....................................................... .................................................
***************************************************************************************************************************
I understand the following:
* Entry Fees (£40
made payable to Wight Challenge) to be sent to Dreams Come True before
12 Sept 2008.
* It is essential that you take out Personal Insurance for The Wight Challenge.
* I would like to book
extra lunches for family, friends and well wishes
@ £10 per person
and include
this with the Entry Fee to Wight
Challenge.
* Minimum sponsorship of £200 is requested from our team.
* All sponsor money must
be paid to Dreams Come True Charity within 28 days of completion
of
the Wight Challenge,
WITH TEAM NAME ON BACK OF CHEQUE.
Signed
..
.........................
...................Dated..........................................
| Payment & Cancellation
Policy
1 In case of participant cancellation, £40 entry fee is non-refundable to cover any costs incurred unless the place can be filled by another participant. 2 In case of insufficient take up by 12 September 2008, the Wight Challenge will be cancelled and a full refund given for entry fee and any sponsor money received. 3 If the event is cancelled by either the participant or The Wight Challenge Organizers for whatever reason, any sponsor money collected must be offered back to the donors, otherwise must be sent to Dreams Come True Charity. |