Danceathon 2022 registration form

  • Please get this from your order email, if it is not automatically filled.
  • Please fill in all the information for yourself and your team using the + symbol at the end to add more people. Alternatively, send this link to your team members and ask them to fill it out themselves.
    Full NameAddressPhone NumberEmail AddressDOBName of Guardian if under 18*Consent for child to take partEmergency Contact Name*Emergency Contact Telephone numberT-Shirt SizeEvent TypePhoto Consent*Email Consent* 

*Guardian – If over 18 please enter N/A

*Emergency contact – should be someone not participating in the event.

 *Email – I am happy for St Andrew’s Hospice to contact me about their news, events and fundraising activities. You can update your preferences at any time by contacting [email protected] or 01472 571269

*Photo – I consent to St Andrew’s Hospice taking photographs/videos of me at this event. These photos/ videos may be used on their website and on social media as well as in printed publications.

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