Walk for WellChild Week Fundraising Pack     WellChild’s Privacy and Data Protection Policy can be viewed here     * denotes required field. I am taking part in the following event eg club/school/work Date of event * Title  Mr Mrs Miss Ms Dr Rev Other Other  * First Name  * Last Name  * Email address  * Confirm email address  Tel number  * Address line 1  Address line 2  Address line 3  * City / Town  * County  * Country  * Post code  Date of birth  * Please state your t-shirt size (Please contact us if you need more t-shirts)  Small Medium Large Extra Large Where did you hear about  WellChild?  Don’t forget to Gift Aid it !   If you’re a taxpayer, using Gift Aid means that for every pound you give, WellChild gets an extra 28 pence from the Inland Revenue. Your donation goes further and it doesn’t cost you a thing. I would like WellChild to claim back the tax on any donation I make to WellChild. I declare that I am a taxpayer and I want the charity to treat all donations I make as Gift Aid donations. I understand that I must pay an equal amount of income tax or capital gains tax at least equal to the tax deemed to have been deducted from this donation.    I agree that I participate entirely at my own risk and accept that WellChild are not liable for any loss, damage, claim, expense, injury or accidents which may arise as a consequence of my negligence at the event. I will abide the rules of the event and remain responsible for my own property.  I am in good health and will have done sufficient training to safely complete the course.  We would like to keep you informed of the activities of the charity that we feel may be of interest to you.  Please tick if you do not wish to receive this.