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Where did you hear about the Starlight Hike? Banners/posters/leaflets in local area Social media Online Newspaper/magazine Radio Letter/email from Sue Ryder Friend or family At work Sue Ryder Hospice/Care Centre/Staff member Sue Ryder shop Other Why are you supporting Sue Ryder? I’ve experienced conditions Sue Ryder cares for I’ve experienced Sue Ryder care In memory of a loved one My workplace supports/ works with Sue Ryder Raise money for a good cause I work/volunteer for Sue Ryder Other Why are you taking part in this event? Get fit Have fun Personal challenge/goal Once in a lifetime opportunity Celebrate an event/ anniversary Friends/family taking part Other Reading Starlight Hike Registration Form Title: Full name: Address: Postcode: Email:* Home tel:* Mobile:* Date of birth: Gender: *Please only provide us with your email and telephone number if you are happy for Sue Ryder to contact you in this way Emergency contact name: Emergency contact number: T-shirt size: S M L XL XXL Please include your cheque or postal order payable to Sue Ryder or fill out your details below: I would like to pay my entry fee/s of £ Please charge my: Visa Mastercard Maestro CAF card Name on card: Card number: (Maestro only) Expiry date: / Start date: / Issue No (Maestro only) Cardholder’s signature: Date: / / We would like to keep in touch with you about our fundraising activities and services for people living with incurable illness. We will use your details provided to get in touch with you about your support and the Reading Starlight Hike. If you would prefer us not to contact you about our local services and other ways to support us (by post), please tick here Participation in the Reading Starlight Hike is governed by the event terms and conditions, a copy of which can be obtained from www.sueryder.org/starlighthike or by calling 020 7554 5959. By submitting your application to participate you agree that you have read and accepted the terms and conditions. Please return completed form to Sue Ryder -Nettlebed Hospice, Henley-on-Thames, Oxfordshire, RG9 5DF

Reading Starlight Hike Registration Form incredible care

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Page 1: Reading Starlight Hike Registration Form incredible care

Join us under starlight to raise money for Wokingham Day Therapy Unit

Green ParkSaturday 22 Juneat 10pm

Register now atwww.sueryder.org/starlighthikeor call 01491 641 070

incredible care for incurable illness

Where did you hear about the Starlight Hike?

Banners/posters/leafl ets in local area

Social media Online Newspaper/magazine Radio Letter/email from Sue Ryder

Friend or family At work Sue Ryder Hospice/Care Centre/Staff member

Sue Ryder shop Other

Why are you supporting Sue Ryder?

I’ve experienced conditions Sue Ryder cares for

I’ve experienced Sue Ryder care

In memory of a loved one My workplace supports/

works with Sue Ryder Raise money for a good

cause I work/volunteer for Sue

Ryder Other

Why are you taking part in this event?

Get fi t Have fun Personal challenge/goal Once in a lifetime

opportunity Celebrate an event/

anniversary Friends/family taking part Other

Reading Starlight Hike Registration Form

Title: Full name:

Address:

Postcode:

Email:*

Home tel:* Mobile:*

Date of birth: Gender:

*Please only provide us with your email and telephone number if you are happy for Sue Ryder to contact you in this way

Emergency contact name:

Emergency contact number:

T-shirt size: S M L XL XXL

Please include your cheque or postal order payable to Sue Ryder or fi ll out your details below:

I would like to pay my entry fee/s of £ Please charge my: Visa Mastercard Maestro CAF card

Name on card:

Card number: (Maestro only)

Expiry date: / Start date: / Issue No (Maestro only)

Cardholder’s signature: Date: / /

We would like to keep in touch with you about our fundraising activities and services for people living with incurable illness. We will use your details provided to get in touch with you about your support and the Reading Starlight Hike. If you would prefer us not to contact you about our local services and other ways to support us (by post), please tick here

Participation in the Reading Starlight Hike is governed by the event terms and conditions, a copy of which can be obtained from www.sueryder.org/starlighthike or by calling 020 7554 5959. By submitting your application to participate you agree that you have read and accepted the terms and conditions.

Please return completed form to Sue Ryder -Nettlebed Hospice, Henley-on-Thames, Oxfordshire, RG9 5DF

Supported by

Page 2: Reading Starlight Hike Registration Form incredible care

Challenge yourself and have a fantastic nightWalk with us under starlight this summer, remembering loved ones and raising money for Sue Ryder Wokingham Day Therapy Unit . The Reading Starlight Hike is a night out with a diff erence.

Our night kicks off with on stage entertainment and a warm up for hundreds of hikers before you set out on your 10k walk. You’ll follow a safe marshalled route around the enclosed space of Green Park which includes the Starlight Avenue, dedicated to our Sue Ryder stars who have received our incredible care.

Crossing the fi nish line, you’ll be rewarded with a free hot butty and goody bag, knowing you’ve done something incredible for local people living with incurable illness.

Wokingham Day Therapy Unit provides incredible care to people with incurable illness.

Entry costs £15 and includes your Starlight Hike T-shirt, goody bag, refreshments, support with your fundraising and a great night out.

Get fundraising nowYour £15 entry covers the cost of putting on the event, but what we really need is money to keep providing incredible care. If you could raise at least £100 this could cover the cost of a Sue Ryder nurse’s seven hour shift. To get you started we’ll help you set up your online fundraising page, and send you a pack jammed full of our top fundraising tips.

If the hike isn’t for you but you still want to be part of the big night we need an army of volunteers to help us in the run up to the event and on the night itself. If you, or any of your friends and family have even a little time to give, we’d love to hear from you!

For more information and to register, go to sueryder.org/starlighthike, or fi ll in the form overleaf.

Once you have submitted your entry, you will receive your Starlight Hike pack, which includes your T-shirt and walker number, within 14 days.

Photos: Alex Knight and Sue RyderSue Ryder registered charity England and Wales (1052076) Scotland (SCO39578) Ref. No.01599 March 2013