Peterborough Sleep Out (Virtual) Registration Form

Peterborough Sleep Out (Virtual) Registration Form

Support our Sleep Out virtually - either by sleeping out in your own garden or being a virtual supporter and committing to making a £25 donation.
Will you be sleeping out in your own garden or just making a donation?*

Sleeping OutMaking A Donation (how to make your donation will be sent to you)
Participant Name*

First NameLast Name
Participant Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Partcipant Email Address*
example@example.com
Partcipant Phone Number*
Participant Date of Birth*

MonthDayYear
Date
CHILDREN MUST BE AGED 8 AND OVER AND MUST BE ACCOMPANIED BY THEIR PARENT OR DESIGNATED GUARDIAN FOR THIS EVENT. PLEASE TICK BELOW TO CONFIRM YOU UNDERSTAND THIS AND AGREE
I understand and agree to the statement above that: CHILDREN MUST BE AGED 8 AND OVER AND MUST BE ACCOMPANIED BY THEIR PARENT OR DESIGNATED GUARDIAN FOR THIS EVENT.*

I agree and understand
By taking part as a virtual participant you are agreeing to donate a minimum of £25 -or raise more by setting up your JustGiving Page
Are you taking part as an individual or as part of a team? Please note that if you are part of a team, each team member will need to fill in their own registration form.*

IndividualTeam
How many people do you expect will be in your team? Please note that each team member will need to fill in their own registration form. (If you are not part of a team just type 1)*
If you are taking part on behalf of your workplace/organisation please let us know which one - please type individual if not from either of these.*
How did you hear about the event?*
Emergency Contact Information (If just making a donation please put your own details)
Name*

First NameLast Name
Relationship*
Contact Phone Number*
By submitting this registration form you are agreeing to obtain sponsorship solely for the cause 'YMCA Bretton Community Hub'.

You are agreeing that this is the only fundraising that you will be undertaking by being a part of this event.
CLICK HERE TO READ OUR DATA USE TERMS AND CONDITIONS
Please indicate if we can keep in contact with you to advise of future fundraising events and YMCA news. We will never sell or pass on your details to any third party.*

YesNo
Participant Waiver
I declare that the above information is correct to the best of my knowledge. I know of no reason why I should not take part in physical activity.

If this registration form is for your child or any other child that is accompanying you, please complete your own details in the waiver section.

By doing so, you are declaring that you accept full responsibility for the child's wellbeing and safety during this Sleep Out event.

Please use your mouse or other device to sign the declaration below.
Name

First NameLast Name
Signature

Clear
Date

MonthDayYear
Date
Registered Company No: 3561613
Registered Charity No: 1069810
NROSH No: H4179
Should be Empty:

Peterborough Sleep Out (Virtual) Registration Form

Emergency Contact Information (If just making a donation please put your own details)

Participant Waiver