I understand that by having a place with the Hospice that I need to pay a £50 deposit at the time of submitting this application and that I will raise a minimum of £500.00 in sponsorship.

I understand that this is a sponsored event and I commit to raise funds for Butterwick Hospice Care. I appreciate that I take part in this event at my own risk and absolve Butterwick Hospice Care from any loss, damage, actions, claims, costs and expenses which I may suffer. I am in good health. I hereby pay my registration fee of fifty pounds and agree to above conditions  If you require any further information please contact [email protected]