Home How you can help Registration Form
The entry fee for this event is £60 per person. We then ask you to raise a minimum sponsorship amount of £345. Every extra penny that you raise over the minimum sponsorship amount goes straight towards caring for local people affected by life limiting illnesses.
Once we receive your registration, we will aim to get your information and sponsorship pack out to you within two weeks.
Event registration fees are not transferable and are non-refundable. Please note, if you feel you have been charged incorrectly or if unauthorised use of your payment card is proven in relation to fraudulent activity, please contact us on: 01484 557 911 and/or your credit or debit card provider as soon as possible. If you do not tell us on becoming aware of an incorrect or unauthorised transaction we may not be able to help. If The Kirkwood has to cancel an event a full refund will be offered.
By providing your mobile phone number above, you understand that we may contact you by SMS in relation to this event. In order for us to communicate with you via SMS, your number will be passed to a third party company who will act on our behalf. No other details will be passed on and your information will not be used to contact you for any other purpose. If you would prefer not to receive updates via SMS or change your mind in the future, please contact us on: 01484 557911 or email: email@example.com. Please note that we may continue to contact you about this event via SMS in case of emergency.
By providing your email address above you understand that we may email you in relation to this event. In order for us to communicate with you via email, your name and email address will be passed to a third party company who will act on our behalf. No other details will be passed on and your information will not be used to contact you for any other purpose. If you would prefer not to receive updates via email or change your mind in the future, please contact us on: 01484 557911 or email: firstname.lastname@example.org. Please note that we may continue to contact you about this event via email in case of emergency.
Please tick here if you would like to share with us why you are taking part. If ticked, a member of the team may contact you regarding your story.
Please note that all entrants aged 16 and under must be accompanied by an adult who is a registered participant.
I confirm that I am taking part in the Skydive Challenge for The Kirkwood at my own risk.
I am medically fit and accept that I am responsible for providing my emergency contact details, any medical conditions, allergies, drug allergies or current medication to the event organisers before or on the day of the event.
I accept all conditions of entry and acknowledge that the organisers shall not be liable for death, personal injury, loss or damage as a consequence of my participation in the event, except with regard to personal injury which is caused by the organiser’s negligence. I understand that The Kirkwood reserve the right to alter arrangements and conditions (such as the event venue, date and start time) should circumstances require.
I can confirm that the information I have provided is correct to the best of my knowledge.
Your support makes a big difference to families in your local community, improving their quality of life every single day. We’d really like to keep in touch about our work and how your help Supports Life across Kirklees. if you select 'Yes' below we’ll sign you up to our mailing list. We won't bombard you with emails. Instead, we'll send you our monthly eNewsletter and the occasional extra bulletin when we've something special to share about the care we offer or how you can get involved. You can unsubscribe at any time.
The Kirkwood will collect a limited amount of data from you if you choose to sign up for our newsletter, register for an event, fundraise, make a donation or take part in our lottery. We will only use your information to provide you with information or updates that we believe are relevant to you. You can let us know at any time if you would prefer not to receive information from us anymore. Simply contact us on: 01484 557 911 or email: email@example.com
If you would like to receive information from us in other ways please tell us at