Tinto Hill Climb

Name of School *

Address *

Address Line 2

Town/City *

County

Postcode *

Country *

Name of Lead Contact *

First

Last

Email *

Phone *

Preferred date *

Alternative date *

Please select a second-choice date in case your preferred date is unavailable.

Number of pupils *

Please state the number of pupils expected to participate in the event.

Number of accompanying adults *

Please state the number of accompanying adults attending the event (1:10 ratio)

Name of staff member remaining at base of Tinto Hill *

First

Last

Do you grant photograph permission? *

Yes
No

Do you grant permission for us take and publish photos of your school group at the event - for use in future promotional materials, on social media/website, in local press etc?

Please select the ways we can keep in touch with you: *

Post
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Telephone
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We really value your support and would like to stay in touch to keep you up to date on the work of St Andrew's Hospice including our events and fundraising activity. We will never sell or share information with other charities or organisations for marketing purposes not related to St Andrew's Hospice.

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