Registration Form

Jingle Bell Walk©

Thursday 6:15PM, 29th November 2007

Contact Name:......................................................................

Address:................................................................................

.............................................................................................

Post Code:  .....  .....  ......  ......

Day time telephone:...............................................................

Email:....................................................................................

Please reserve my entry in the 2007 Jingle Bell Walk

Number of children:   ...........................

Number of adults:  ...............................

All children under 16 years must be accompanied by an adult.

£5 per person.

I enclose a cheque for the sum of £ ................ made payable to the Chris Lucas Trust

Please enclose stamped addressed envelope

1. I understand that Chris Lucas Trust cannot be held responsible in anyway for loss or injury to myself or any other party howsoever arising.

2. I understand that I have a legal responsibility to ensure all sponsorship money, donations received by me are paid to Chris Lucas Trust before 31st December 2007.

Signed.........................................................................

Please print name....................................................... .

Date:.........................................................

Using Gift Aid means that for every pound you give, we get an extra 28 pence

from the Inland Revenue, helping your donation go further.

This means that £10 can be turned into £12.80 just so long as donations are

made through Gift Aid. Imagine what a difference that could make, and it

doesn’t cost you a thing.

So if you want your donation to go further, Gift Aid it. Just complete this form

and send it back to us.

To qualify for Gift Aid, what you pay in income tax or capital gains tax must at least equal the amount

we will claim in the tax year.

Please Return to:          Chris Lucas Trust,

 95, Lancaster Drive,

 Hadrian Park,

 Wallsend,

 North Tyneside, NE28 9TF