Registration Form - DECEMBER IS CHILDREN'S CANCER MONTH
Jingle Bell Walk©
Thursday 6:00PM, 26th November 2009
Contact Name:......................................................................
Address:................................................................................
.............................................................................................
Post Code: ..... ..... ...... ......
Day time telephone:...............................................................
Email:....................................................................................
Please reserve my entry in the 2009 Jingle Bell Walk
Number of children: ...........................
Number of adults: ...............................
All children under 16 years must be accompanied by an adult.
£5 per person.
I enclose a cheque for the sum of £ ................ made payable to the Chris Lucas Trust
Please enclose stamped addressed envelope
1. I understand that Chris Lucas Trust cannot be held responsible in anyway for loss or injury to myself or any other party howsoever arising.
2. I understand that I have a legal responsibility to ensure all sponsorship money, donations received by me are paid to Chris Lucas Trust before 31st December 2009.
Signed.........................................................................
Please print name....................................................... .
Date:.........................................................

To qualify for Gift Aid, what you pay in income tax or capital gains tax must at least equal the amount we will claim in the tax year.
(√) Please just tick
( ) Using Gift Aid means that for every pound you give, we get an extra 28 pencefrom the Inland Revenue, helping your donation go further.
This means that £10 can be turned into £12.80 just so long as donations are
made through Gift Aid. Imagine what a difference that could make, and it
doesn’t cost you a thing.
So if you want your donation to go further, Gift Aid it. Just complete this form
and send it back to us.
Please Return to: Chris Lucas Trust,
95, Lancaster Drive,
Hadrian Park,
Wallsend,
North Tyneside, NE28 9TF