Event Booking

Step 1 - Details

Title*

First Name*

Surname*

Telephone Number*

Email Address*

Postcode*

House Number and Street*

Address Line 2

Town / City*

County*

Step 2 - Please enter further information

Name of lead guest (this is who we will liaise with regarding your booking)*

I would like to book a table

I would like to book individual tickets

Do you or your guests have any dietary requirements or allergies among your party?*

Do you/your guests have any accessibility needs? If no, please put no in the answer box

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

Yes
No

Declaration

DECLARATION:
By registering I agree to make the Hospice aware of any dietary requirements of any guests and understand that if I need to make any changes to my requirements I can use the contact details in the confirmation email I will receive.

I am aware that tickets will not be posted out and that once booked St Gemma’s will have my details and will have allocated my table and seat.

I agree that I will behave appropriately at all times when travelling to, from and during the event. I understand that my behaviour at the event may reflect upon the Hospice and I acknowledge that anyone behaving inappropriately may be asked to leave the venue at the sole discretion of St Gemma’s Hospice.

CANCELLATION
I understand that my ticket(s) will be fully refundable if I am unable to attend up until two weeks before the Ball. If I need to cancel my ticket(s) within two weeks of the event date then I understand that refunds will not be available.

YOUR DATA:
I understand that photographs may be taken at the event and I consent that any photographs taken that include me may be used for future Hospice marketing purposes and in publications.

By registering I understand that I will receive emails about this event.
We take your data and privacy seriously, if you want to update your information or change how we contact you in the future, ring 0113 218 5555, email supportercare@st-gemma.co.uk or visit www.st-gemma.co.uk/privacy.

I agree to the declaration