Accessibility Tools
Home
About us
Vacancies
Shops and Retail
News
Covid-19 Guidance

Accessibility Tools

Refer
Make a donationDonate

Home
Patients & Families
Upcoming hospice tours

As part of Dying Matters week, we are opening our doors. Come and join us for a short presentation, free refreshments, tour of the hospices.

Book today
Professionals
- Refer online
- Referral guide
Refer today...

Both our Inpatient Units are open; please call our referrals team on 01926 838889 to make a referral over the phone, alternatively you can use our online referral form.

Refer today
Support us
- Shops
New dates added!

We are thrilled to release new dates for our Donation Drive Thrus. Simply drive up and we’ll help unload… drive away and enjoy your day.

Find out more
Events
- Events
- Volunteering at events
New dates added!

We are thrilled to release new dates for our Donation Drive Thrus. Simply drive up and we’ll help unload… drive away and enjoy your day.

Find out more
Join us
- Volunteering
- Vacancies and Jobs
Could you join #TeamMyton?

We need over 1,000 volunteers to ensure we can continue to provide our services free of charge to patients and their families when they need us most, now and in the future.

Volunteer today
Contact
- Find us
- Shops
- Contact Us
Find your nearest hospice

We have hospices in Coventry, Rugby and Warwick and specialist nursing teams that care for people in their own homes.

Find out more
About us

Home
Patients & Families
Professionals
Support us
Events
- Events
- Volunteering at events
Join us
- Volunteering
- Vacancies and Jobs
Contact
About us

Home
Healthcare Professionals
Education
Education booking form

Education booking form

Hidden
Ref
Please select your payment method
If you select online once you have completed this form you will be transfered to a secure payment page. If you select invoice you will be emailed details in how to complete your payment via BACS.
I wish to pay*
- Online
- Invoice
Product Name
Please select which course(s) you wish to book*
You can select multiple
- Thanks for Noticing me – An Introduction to Palliative Care (21/4/20)
- Thanks for Noticing me – An Introduction to Palliative Care (16/7/20)
Amount of people attending*
Please select which course(s) you wish to book*
You can select multiple
- Thanks for Noticing me – An Introduction to Palliative Care (21/4/20) - £75
- Thanks for Noticing me – An Introduction to Palliative Care (16/7/20) - £75
Please fill in your details as per your Debit / Credit card that you wish to pay with
Do you intend on staying for all of the courses you have booked onto*
- Yes
- No
Your details
Company or organisation name
Title*
First name*
Surname*
Address line 1*
Address line 2
Town / City*
Postcode*
Hidden
*
Country
Email*
Phone*
Delegate details...
Delegate 1 - First name*
Delegate 1 - Surname*
Delegate 1 - Email*
Do you wish to add another delegate?*
- Yes
- No
Delegate 2 - First name*
Delegate 2 - Surname*
Delegate 2 - Email*
Do you wish to add another delegate?*
- Yes
- No
Delegate 3 - First name*
Delegate 3 - Surname*
Delegate 3 - Email*
Do you wish to add another delegate?*
- Yes
- No
Delegate 4 - First name*
Delegate 4 - Surname*
Delegate 4 - Email*
Do you wish to add another delegate?*
- Yes
- No
Delegate 5 - First name*
Delegate 5 - Surname*
Delegate 5 - Email*
Do you wish to add another delegate?*
- Yes
- No
Delegate 6 - First name*
Delegate 6 - Surname*
Delegate 6 - Email*
Do you wish to add another delegate?*
- Yes
- No
Delegate 7 - First name*
Delegate 7 - Surname*
Delegate 7 - Email*
Do you wish to add another delegate?*
- Yes
- No
Delegate 8 - First name*
Delegate 8 - Surname*
Delegate 8 - Email*
Do you wish to add another delegate?*
- Yes
- No
Delegate 9 - First name*
Delegate 9 - Surname*
Delegate 9 - Email*
Do you wish to add another delegate?*
- Yes
- No
Delegate 10 - First name*
Delegate 10 - Surname*
Delegate 10 - Email*
Do you wish to add another delegate?*
- Yes
- No
You have reached the maximum amount that you can add through this form - please add extras in the field below
Please note the First name, Surname and Email of all extra delegates you wish to add in the box below.*
Any special dietary requirements
Please specify whether you have any disabilities that we need to be aware of
Where did you hear about this event?
You can select multiple
- Email
- Facebook
- Flyer
- Friends, Family or Word of Mouth
- The Myton Hospices website
- Other website
- Poster
- Twitter
- Other
Please explain where*
Find out the difference your support makes
Thank you for supporting The Myton Hospices so we can continue to provide our services free of charge to people, and their families, living with terminal illnesses. We may keep in touch with you by post and phone to tell you more about our vital work and other ways you can help, including opportunities to donate, fundraise or volunteer and how your support has made a difference. Please let us know if you’re also happy to hear from us by email and text:
By email*

Yes

No
By phone*

Yes

No
Booking Conditions
Your privacy
We promise to do our best to keep your details safe and secure and will only process your data in accordance with the current Data Protection legislation. Our Privacy Policy explains how we keep this promise and you can read more online at www.mytonhospice.org/privacy-policy If you change your mind about hearing from us please email DSCT@mytonhospice.org or call us on 01926 358383.
Total
£ 0.00

Join us

The services we provide

Reports and accounts

Education

Spoke visit / placements interest form

Find out more about the difference your support makes…

Keep in touch

Contact

Main telephone

01926 492518

Main email
Enquiries@mytonhospice.org

Find us

Rugby Myton Hospice

CV22 5PY | Google Map

Coventry Myton Hospice

CV2 2HJ | Google Map

Warwick Myton Hospice

CV34 6PX | Google Map

Support us

We need to raise over £9.1 million each year to provide our services. We depend on your kind support.
Make a donation

Social

facebook

twitter

youtube

instagram

ebay

© 2022 The Myton Hospices. - UK Registered Charity No. 516287. A company limited by guarantee registered in England number 1628455

Terms & Conditions

Privacy Policy

Accessibility

Cookie Policy

Sitemap

Website by Itineris