*Guardian – If over 18 please enter N/A

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

*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 louise.bullimore@nhs.net 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.