All persons, irrespective of age, can participate in the North West Hospice Memorial Walk.  Persons aged 18 years and over must register for the event.  Persons under the age of 18 years are not required to register for the event.

1. NONE: I already have a North West Hospice Memorial Walk T-shirt and will be wearing it again this year.
2. NON-PERSONALISED: I would like a new non-personalised T-shirt with just the Memorial Walk Logo.
3. T-Shirt Option*
   • NONE
   • NON-PERSONALISED
4. T-Shirt Size*
   Please indicate your T-shirt size (Adult sizes only):
   • Small
   • Medium
   • Large
   • X-Large
   • XX-Large
5. T-Shirt Delivery/Collection*
   There is a significant cost to the Hospice to post t-shirts so please collect from our office in Wine Street, Sligo or on the day of the walk if possible.
   • I will pick up from the Hospice to save costs
   • Please post my T-shirt to me
6. 
   T-Shirt Delivery
   All t-shirts will be posted this year due to Covid-19 restrictions and to ensure people stay safe. This will mean increased costs to the hospice so please be mindful of this and help us cover these costs by raising sponsorship. Thank you.

7. 3. Sponsorship Cards

8. Sponsorship Cards*
   How many Sponsorship cards would you like?
   1234

9. 4. Keeping in Touch

10. Before proceeding, we would like you to know that keeping in touch with you with regards to the North West Memorial Walk is important to us. We may need to contact you regarding this year’s North West Memorial Walk and we would like to notify you about the North West Memorial Walk in the future. In order for us to communicate with you by phone or email, we need your consent to do so. We would be grateful if you could indicate your preferred method of communication below:
11. By submitting this form you consent to us using your details to provide you with information about the campaign you are registering for.We would like to stay in touch with you about North West Hospice services, news and fundraising activities.
12. Keeping in touch
    • By Email
    • By Phone
    • By Post
    • By SMS
    • I do not want to be contacted
13. Please note we will retain your details on the North West Hospice Donor database. We promise to keep your details safe and never sell or swap your details with third parties. Our privacy policy explains how we keep this promise. You can withdraw or change your consent at any time by contacting the Fundraising Department on 071 9170523 or by emailing fundraise@northwesthospice.ie or by using the opt out function available on all our communications.
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    5. Declaration

15. DECLARATION: I understand that I enter the North West Hospice Memorial Walk at my own risk and that the North West Hospice will not be held responsible for any property lost, mislaid or stolen on the route or at any facility area or for any loss or injury sustained by me in the course of the event or in fundraising connected with the event. Furthermore, I hereby grant full permission to North West Hospice to use photographs, films or recordings of the event for any legitimate purpose connected with the event and/or with the services of North West Hospice.
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    Agree to Terms
    • I agree to Terms above.
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