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Bridge the Gap


Registration is open - Sign up today and tell your friends too!

 

Thank you for your interest in Bridge the Gap, please register below...

 

ALL fields marked * are required

* Required
IF needed
IF needed
IF needed
 Both parts separately

In case of an emergency, please provide details of your next of kin or someone we can contact

If you are a 'team', please enter your team name here too!

Group Members

You may add up to 10 members to your group. ALL fields are required for each member

From time to time we may like to send you information about our fundraising initiatives and news from the Arthur Rank Hospice Charity or Romsey Mill, this could include contact by email, post or telephone.  We value our supporters and our ability to communicate with them, but if you would prefer not to hear from us please untick this box . Your details will not be disclosed to any third party.

 Tell your friends about this event on Facebook!

Before you submit this form, why not tell all of your friends on Facebook about this event simply by clicking here... try it!


Google Chrome Auto-Fill

If you are using Google Chrome and have the form auto-fill feature turned on, please check your address on our card payment screen as we have noticed some issues with their 'memory' of your details which could lead to your payment being declined!

 

TICK this box  (reveals terms of entry) to confirm that you are aged 18+ and have read and agree with the TERMS OF ENTRY. All participants under 18 years of age MUST be accompanied by an adult with a strict ratio of 1 Adult : 4 minors

The money raised from this event is equally split between the two benefiting charities; Arthur Rank Hospice Charity: 1133354, and Romsey Mill: 1066605