St Wilfrid's Hospice : Register

Personal Details

Title

First Name *

Last Name *

Email Address *

Password*

I confirm that I'm over the age of 16 *

Can we keep in touch?

If you have helped the charity in the past, we like to thank you and keep you informed about our news and events. We feel there is a legitimate interest in keeping you up to date with the work we are doing and letting you know how you can get involved. This would normally be by mail or telephone.

Tick here if you wish to stop all contact from St Wilfrid’s Hospice (Eastbourne)
(Please note, you will be removed from all mailings, emails and telephone marketing, and we will never contact you again if you tick this box)
Tick here to consent to be contacted by email; please provide us with your email address, above.

We will never sell or share your data with a third party. For details about how we use your data, please go to stwhospice.org/yourdata

Postal Address *

Postal Address

Address Line 1 *

Address Line 2

Town/City *

Postcode *

County

Country *

Emergency Contact Details

Please provide us with an emergency contact

First Name *

Last Name *

Contact Number *

Are you taking part in memory of a loved one?

If so, please provide their details.

First Name

Last Name

What is your relationship to this person?

Would you like to display their name on your fundraising page?

Terms & Conditions

You confirm that you are physically fit to take part in Fire Walk, a short walk over a bed of hot coals, supported by a professional fire walking organisation; Time4Change.
You agree that St Wilfrid's Hospice (Eastbourne) cannot be held responsible for any injury or illness resulting from your participation in Fire Walk. If you are unsure about whether you are physically able to participate or are on any medication which adversely affects the operation of your nervous system, then you should obtain medical advice from your own GP or medical consultant, prior to taking on the challenge. You also understand and agree that there is a no tolerance policy for alcohol or drugs at this event. Anyone who is under the influence of alcohol prior to taking it for a walk will not be allowed to participate. Alcohol will be available on sale on site for spectators, and participants once the walk has been completed.
You confirm that you are aged 16 or over at the time of participation in the event. If you are aged 16-17 at the time of participation, you confirm that you will have an adult aged 18 or over present at the event with you.
You understand and accept that by registering for Fire Walk 2026, you are pledging to try and raise a minimum of £175.00 in sponsorship for St Wilfrid's Hospice (Eastbourne). You understand that the pledge target does not include Gift Aid and you agree to encourage your sponsors to Gift Aid their sponsorship donation, if they are a UK taxpayer (which will incur no extra cost to them but will enable St Wilfrid's Hospice (Eastbourne) to claim an additional 25% of their donation amount from HMRC).
All funds raised through your participation in Fire Walk 2026 must be made payable to St Wilfrid's Hospice (Eastbourne) in £ sterling and should be received by St Wilfrid's Hospice (Eastbourne) by Thursday 30th April 2026. The objective is to raise as much sponsorship monies as possible. All funds raised via your online sponsorship page will be transferred to St Wilfrid's Hospice (Eastbourne) automatically. You can pay any offline sponsorship via cheque made payable to 'St Wilfrid's Hospice (Eastbourne)', or via bank transfer, or by calling the Fundraising Team on 01323 434241. If you require any further information about transferring your offline sponsorship monies, visit our FAQs page or email the Fundraising Team at fundraising@stwhospice.org.
You acknowledge that St Wilfrid's Hospice (Eastbourne) may incur costs because of you joining this challenge (e.g. cost of producing and selling a fundraising pack/medal). You therefore understand and accept that the objective of this event for you, the participant, is to raise as much sponsorship funds for St Wilfrid's Hospice (Eastbourne) as possible.
Should you, for whatever reason, not take part in this event on Saturday 28th March 2026, all sponsorship forms provided to you and monies collected before the event in sponsorship, should be forwarded to St Wilfrid's Hospice (Eastbourne), subject to you informing your donors that you were not able to participate in the challenge and that they may, if they wish, have their sponsorship money returned to them.
You agree that you will not bring St Wilfrid's Hospice (Eastbourne)'s name into disrepute and that you will fundraise responsibly and legally. You will not do anything that may damage St Wilfrid's Hospice (Eastbourne)'s reputation or name. You agree that, in the event that St Wilfrid's Hospice (Eastbourne) reasonably believes that your participation in Fire Walk 2026 may damage St Wilfrid's Hospice (Eastbourne)'s name or reputation, that you will withdraw from the event immediately, at the request of St Wilfrid's Hospice (Eastbourne).
By registering for Fire Walk 2026 and providing your personal data such as your name, telephone number and email address, you understand that this is taken as your legitimate interest in being contacted by the St Wilfrid's Hospice (Eastbourne) Fundraising Team for the purpose of your participation in Fire Walk 2026. You will therefore receive email, mail and telephone communication from the Fundraising Team before and after the event, in relation to your participation in Fire Walk.
You understand and confirm that if you choose to send St Wilfrid's Hospice (Eastbourne) any images or video footage of your participation in Fire Walk 2025 (by methods such as, but not limited to Facebook, email, mail), that this will be taken as your consent for St Wilfrid's Hospice (Eastbourne) to use your image or video for commercial and fundraising purposes including, but not limited to, marketing materials, social media, advertising, publications, and other documents or mediums that may be made available to the public. We will also have an official photographer at Fire Walk. If you are attending Fire Walk and are in any photos taken by the event photographer, you should expect that these images may be used on our social media platforms, and in future St Wilfrid’s Hospice marketing. If you do not wish to be in any photos or videos, please make yourself known to one of the St Wilfrid’s Hospice Events Team on the night of the event. Photographs of children will not be used in this manner without express written consent; unless the images are incidental, for example, children's faces amongst a larger crowd of people. For further information about how St Wilfrid's Hospice (Eastbourne) collects and uses personal data, please refer to our Privacy Policy at stwhospice.org/information/privacy-notice
Any complaints you may have specifically relating to Fire Walk before, during or after your participation in the event, should be communicated to the Fundraising Team at St Wilfrid's Hospice (Eastbourne) as soon as possible to help the team deal with them in a timely manner. Please email fundraising@stwhospice.org or call 01323 434241.
You understand that every participant in Fire Walk 2026 will be required to sign a legal disclaimer, provided by Time4Change, in the workshop before the walk, stating that they are aware of any possible risks and are entering into an activity of their own free will and volition. Failure to sign a disclaimer form will result in entry being refused, with no right to refund.

I agree to the above Terms & Conditions *

Create Account

Already have an Account

Already have an Account with us?