Event Booking

Step 1 - Attendee 1 details
Step 2 - Please enter further information
Preferred Jump Date*
Weight in stone (max. 100kg/15st 11lbs)*
Height in feet*
Date of birth*
Where did you see this advertised?*
Reason for taking part*
Step 3 - How we communicate with you
As a valued supporter we really want to keep you posted about news and events across St Gemma’s and to share how your support benefits local patients and their families.  
 
We will contact you for administrative purposes regarding this interaction. We will usually send you information by post; if you would also like to receive email updates please let us know.  If you wish to change how we send you information or choose not to hear from us at all, there are a variety of ways you can do this. Ring us on 0113 218 5555, email supportercare@st-gemma.co.uk or update your preferences online at www.st-gemma.co.uk/mydata.
 
For further information on how we use and store your details please visit www.st-gemma.co.uk/privacy. We will never sell your personal information.
 
I am happy to be contacted by email in the future

Declaration
I agree to the skydive booking terms and conditions provided and agree to raise and submit £400 in sponsorship within two weeks after my jump date.

I understand that my skydive costs £200 and is paid for by St Gemma's Hospice and the sponsorship I am raising covers this cost and ensures at least £250 goes directly to patient care at St Gemma’s.

If St Gemma’s Hospice has not received my sponsorship money two weeks after my jump date, I understand that the Hospice will contact me.