Do something amazing and sign up to this year’s Walk for Myton! "*" indicates required fields Step 1 of 2 0% Team Unique IDPlease enter your details below to register for this year's Walk for Myton... You can add / edit and delete participants here. You will not be registered until you have completed the secure payment page. Add form header image...Please click the "Add Participant" button to add entries. First name Surname Actions Edit Delete There are no Participants. Add Participant Maximum number of participants reached. Participant tickets total Price: £ 0.00 Team or business name (optional)Group emergency contact name*Group emergency contact number* Payment details... Please fill in your Debit / Credit card details below as they appear on the card. You will then be taken to a secure payment page to complete your details.Title* Mr Mrs Miss Ms Dr First name on Debit or Credit Card*Surname on Debit or Credit Card*Email* Payment address... Please fill in your Debit / Credit card details below as they appear on the card. Please enter your postcode and select your address*Address Line 1 for Debit or Credit Card*Address Line 2 for Debit or Credit CardAddress Line 3 for Debit or Credit CardCity / Town for Debit or Credit Card*County for Debit or Credit Card*Postcode for Debit or Credit Card*This field is hidden when viewing the formCountry*AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabweLike all hospices, we are deeply concerned about the current funding crisis for our services. With costs at an all-time high, we need your support now more than ever to continue providing our care free of charge to patients and their loved ones.. Do you wish to make an optional donation in lieu of sponsorship? Your donation £30 could fund one hour of specialist nursing care £60 could fund the cost of two hour’s specialist nursing care £90 could fund the cost of three hour’s specialist nursing care £180 could fund the cost of six hour’s specialist nursing care £360 could fund the cost of 12 hour’s specialist nursing care £720 could fund the cost of 24 hours specialist nursing care £1,440 could fund the cost of 48 hours specialist nursing care A gift of my choice No thank you Please enter the amount you wish to donate in in lieu of sponsorship*If you have clicked an amount by mistake you can enter "0" if you wish not to add a donation.... This field is hidden when viewing the formDonation AmountI wish to Gift Aid my donation and increase its worth by 25% at no cost to me I am a UK tax payer and confirm I will pay an amount of UK income tax or Capital Gains tax for each year that is at least equal to the amount of Gift Aid that all charities that I donate to will reclaim on my behalf. I understand that if I pay less Income Tax/Capital Gains Tax in any tax year than the amount claimed on my donations, it will be my responsibility to pay any difference back.* For the last four years /and any I may make in the future, until I notify you otherwise For my latest donation /and any I may make in the future, until I notify you otherwise I am NOT a UK taxpayer or do not wish to Gift Aid my donations Full total
