Goodison Park Stadium Sleepout 2024
Goodison Park Stadium Sleepout 2024
11-12 October 2024
Goodison Park
Everton in the Community is a registered UK charity with the charity number 1099366.
Registrant Information
First Name:
Last Name:
Email Address:
Mobile Number:
Date of Birth:
Address
House Number & Street
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Post Code
Medical Information
Emergency contact name :
Emergency contact number :
Do you have any medical conditions?:
Yes
No
Medical condition details :
Do you have any access requirements that we need to be aware of?:
Yes
No
Please list any access requirements below :
Do you have any Dietary Requirements ?:
Yes
No
Dietary requirements details :
Declaration
I agree to pay the £25 registration fee and pledge to fundraise £134 for Everton in the Community
I confirm I am over 18
Gift Aid
Gift Aid is reclaimed by the Charity from the tax you pay for the current tax year. Your address is needed to identify you as a current UK taxpayer.
In order to Gift Aid your donation, you must tick the box below:
I want to add Gift Aid to my donation:
Yes
No
By ticking the box above, you acknowledge that you are a UK taxpayer and understand that if you pay less Income Tax and/or Capital Gains Tax in the current tax year than the amount of Gift Aid claimed on your donations it is your responsibility to pay any difference.
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Card Information
Card Number (for £25 registration fee)
Expiration (Month)
Expiration (Year)
CVV Code
Cardholders Full Name
Cardholders Email Address