Light up a Life

 

Event Summary

Light up a Life
Event
Light up a Life
Location
Easingwold,York & Selby
Start Date & Time
27/11/2019 - 7:00 PM
End Date & Time
06/01/2020 - 12:00 AM

Your Details

Title *
 
First Name *
 
 
Last Name *
 
 
Email Address *
 
 
Phone Number *
 
 
House Name/Number *
 
 
Address 1 *
 
 
Address 2
 
 
Town/City *
 
 
County *
 
 
 
Country *
 
 
Post Code *
 
 
 
I would like my light/s to shine for:
 
 
Additional Name:
 
 
 
Additional Name:
 
 
Additional Name:
 
 
 
Additional Name:
 
 
Donation Amount: (£)
 
 
 
I will be attending the service in:
 
 
How did you find out about this event?
 
 
 
 
 
 
 
Please tick if you are 16 or under



Your communication preference


We know that you care about St Leonard's Hospice and we'd like to stay in touch with you as we build our future - but will only do so if you tell us that's OK.

Please tick to confirm your consent and preference. If you DO NOT give consent we will not be able to contact you again about our work, fundraising activities and events.

If you're 16 or under, we can still keep you updated but need your parent/guardian's permission. We will post you a form for them to sign.





Declaration

Donations are non-refundable. It is understood that St Leonard’s Hospice may take photographs or film us taking part in this event and permit them to use the images for promotional purposes.