Skydive Day Reg

NWAA Skydive Day

Your Title(Required)

Name(Required)

First Last

Address(Required)Please start typing your address

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Phone

Mobile(Required)

Email(Required)

Date of Birth(Required)

NWAA fundraisers are provided with a t-shirt to wear on the day, please provide your size(Required)

I agree to raise a minimum £395 in sponsorship. All monies raised must be paid to the North West Air Ambulance Charity no later than three months after the event.(Required)

Yes

Do you have a personal connection with the charity or some other reason for supporting us?

Registration Fee(Required)

Price:

Total

Keeping in touch

North West Air Ambulance would like to keep you informed about our work, how your support has helped keep our helicopters in the air and how you can get involved in the future.

Please tick here if you do not wish to receive information about the work of the North West Air Ambulance Charity

By post

By telephone

Please tick here if you do not wish to receive information about the work of the North West Air Ambulance Charity

By email

By text

We promise to never share your information with any other organisation for their marketing purposes. Please see our privacy statement at www.nwairambulance.org.uk for detailed information about how we use your data.