Spinnaker Tower Abseil - Princess Alice Hospice

Spinnaker Tower Abseil
Important information
- You must be over 14 years old to take part in the abseil.
- Anyone under the age of 18 must have a guardian/parent present to sign consent, they may be required to show proof of age.
- If you are under 18 an adult needs to complete this form on your behalf.
- The abseil is not suitable for anyone who is pregnant.
- Registration is £50 and we ask you to raise a minimum of £200 in sponsorship.
- Your abseil date will only be booked once you have achieved at least 75% (£150 minimum) of your fundraising target. Therefore, please ensure you give yourself enough time to fundraise.
- Abseil date will be confirmed once booking is confirmed with Emirates Spinnaker Tower.
Fields marked with * are mandatory to complete. If the 'next' button does not work check you have completed all fields.
Personal details
On which date would you like to take on the abseil?
Any date after 1 Sept 2020
Age *
Date of birth *

Day Month Year
Date
Are you signing up as an individual or as part of a team? *
Does your organisation offer match funding? *

Yes No
If yes, please provide the company name here
Does your organisation offer match funding? *

Yes No
If yes, please provide the company name here
Name *

Title First Name Last Name
Home Address *

Address Line 1

Address Line 2

City/Town County

Postal / Zip Code Country
Email *
example@example.com
Mobile *
Alternative contact number
Is this your work, home or mobile?
Age disclaimer *
As you are between 14-17 years old please ask your parent/guardian to sign the following:
I confirm that I am over 18 and consent to [add participants name in box] abseiling and will be present to sign the consent on the day. *
Parent/guardian name *

First Name Last Name
Parent/guardian email *
example@example.com

Signing up as a team
Please note; each team member you list below will need to complete their own application form - the names you have given will only be used as a reference so that we can group you together. This does not confirm or sign them up to take part in the Spinnaker Tower Abseil. Please ensure they complete their own application form. If your team has more than 5 people, please phone Supporter Care to register them 01372 461808. Please note; you do not have to re-enter your name in this section.
I am the team captain

Yes No I'm a team member
Team name *
Is this a corporate team? *

Yes No
Are you part of a corporate team? *

Yes No
If yes, please provide the company name here
Team member 1
Name of team member 1 *

Prefix First Name Last Name
Team member 2
Name of team member 2

Prefix First Name Last Name
Team member 3
Name of team member 3

Prefix First Name Last Name
Team member 4
Name of team member 4

Prefix First Name Last Name
Team member 5
Name of team member 5

Prefix First Name Last Name

Event details
How did you hear about Princess Alice Hospice and our Abseil events?
Other
Why have you chosen to support Princess Alice Hospice? *
Other
Are you fundraising in memory of someone *

Yes No
Name of the person you are doing this in memory of

First Name Last Name
I am their
Other
Do you have any injuries that we need to be aware of? *

0/1000
Your sponsorship target - There is a minimum sponsorship of £200 *

Photography and video
Can I bring my own camera?

Emirates Spinnaker Tower provide a Gopro during your abseil, you can purchase videos and / or photos from them of your abseil.

Abseil participants may not provide their own cameras for use whilst completing their abseil.
Why do we need photographs and video footage?

At Princess Alice Hospice, we use real photos and footage of people to show what the Hospice is like. We use these in internal and external publications, on our website, on our social media channels and in fundraising material. If you would like to know more please refer to the terms and conditions on the previous page.

Period of use - three years

We may use your images - photography and/or video - for up to three years.
Consent *

I confirm that I have agreed to be filmed and/or have my photograph taken. I acknowledge that I have been fully informed that these images could be used to benefit the Hospice in publicity materials and publications (print and online) and local and national media (subject to consent ticked above). I do not wish to be filmed and/or have my photography taken for the use of the Hospice.
Use of name and where you live *

Use my first name only Use my first name and where I live Never use my name or where I live
Can we tag you in our twitter posts? If so, please let us know your twitter handle:
eg: @PAHospice
Can we mention you in our Facebook posts? If so, please share your Facebook profile link:
eg: www.facebook.com/pahospice

Keeping in touch

We’d love you to be part of the Princess Alice Hospice supporter community, but if we don’t have your permission, we can’t get in touch with you to share our latest news, campaigns and information about how you can support our work.
Would you like to hear from us by email? *

Yes No
Would you like to hear from us by post? *

Yes No
Would you like to hear from us by phone? *

Yes No
Rest assured, we never share, swap, rent or sell our supporters’ details to other charities or third parties for marketing purposes. You can read how we manage and respect your data in our Privacy Notice at www.pah.org.uk/privacy

If you’d like to change your permissions at any time please contact our Supporter Care Team on 01372 461808 or supportercare@pah.org.uk

Terms and conditions
Terms and conditions *
Booking fee *
Payment details

Your payment will be processed by Stripe who use the strictest payment processing procedures and has been audited and certified to PCI Service Provider Level 1.

Payment with Stripe *

Registration for Spinnaker Tower Abseil £ 50.00

Total £ 0.00

Credit Card Details
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Credit Card Number	Security Code
Card Expiration

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Experiencing difficulties?

We're here to help so please don't hesitate in contacting us:

Email:: supportercare@pah.org.uk
Tel:: 01372 461808

Available Monday – Friday 9am till 5pm, closed Bank Holidays

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We use secure transmission and never share, sell, swap or rent your data to third parties for marketing purposes.

We are committed to protecting your privacy and will only use personal data that we collect in line with all applicable laws, including the General Data Protection Regulation (GDPR).

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