REGISTRATION FORM
We’re thrilled that you’ve accepted to take part in The Cross Channel Sailing Challenge. Please
complete this registration form. (Electronic signatures are acceptable).
Your place requires you to pledge to raise or simply donate a minimum of £5,000, which must be
received by The Trust by 30th June 2015. A registration fee of £500 is payable with this form (and will
count towards your total of £5,000).
Title (Mr/Mrs/Miss/Ms/Other):
Forename and surname (as per passport):
Nationality :
Date of birth:
Postal address:
Telephone number:
E-mail:
FUNDRAISING PLEDGE
I pledge to raise or donate a minimum of £5,000 and agree that my pledge will be donated to The Outward
Bound Trust by 30th June 2015 at the very latest. In the event of a shortfall in my fundraising I agree to pay
any shortfall out of my own funds.
Signed:
Dated:
REGISTRATION FEE
I enclose a registration fee of £500 to hold my place / I make the full £5,000 donation now (delete as
appropriate). I understand the registration fee is non-refundable once my place has been confirmed.
Signed:
Dated:
The Registration fee can be paid by credit card (not AMEX), by BACS transfer or by cheque, made out to
‘The Outward Bound Trust’.
CREDIT CARD PAYMENT FORM
Cardholder name
Amount
Card number
Visa/ MasterCard/Maestro
Card start date
MM/YY
Card Expiry date MM/YY
3 digit security number
Signed
Date
£
BACS PAYMENT
Please transfer funds into
the following account:
Barclays Bank, PO Box 11
North Street, Rugby,
CV21 2AN
Account number: 53982882
Sort Code: 20-73-48
Please reference your payment
with your surname, followed by
the word ‘sail’:
‘Surname SAIL’
when you transfer the
registration fee /donation
EVENT REQUIREMENTS FORM
Please complete and return this form so that we can plan accordingly:
DINNER, FRIDAY 10 JULY
A celebratory meal has been arranged for all participants on Friday 10 July in Honfleur. Please indicate your
requirements:
I confirm that I will attend the dinner:
Y/N
Please detail any dietary requirements: ______________________________________
______________________________________________________________________________________________
ACCOMMODATION, FRIDAY 10 JULY
A hotel room has been booked for you in the centre of Honfleur for the night of Friday 10 July. Please
indicate your requirements:
I confirm that I would like a room for myself :
Y/N
RETURN TO PORTSMOUTH, SATURDAY 11 JULY
The return ferry departs from Le Havre at 12.30pm on Saturday 11 July. This arrives into Portsmouth at
3.30pm. We can book the ferry for you.
I confirm that I would like a ferry booking for myself:
Y/N
ARRIVAL / DEPARTURE INFORMATION
The Challenge starts at 6.00pm on Thursday 9th July from Gosport Marina. There is parking available if
you are arriving by car. Upon return into Portsmouth harbour on Saturday 11th July, you can take a taxi
back to Gosport Marina to collect your car. Alternatively, the marina can be reached by train from Waterloo
to Portsmouth Harbour and a short (5 minute) ferry to Gosport.
More detailed information will be sent to you nearer the time.
Please return completed form to:
[email protected]
Or:
The Outward Bound Trust
207 Waterloo Road
London, SE1 8XD
Outward Bound is a registered trade mark of The Outward Bound Trust as is its device. The Outward Bound Trust is a registered charity in England
and Wales (1128090) and in Scotland (SC040341) and a company limited by guarantee, registered in England and Wales (company number
6748835). Registered Office: Hackthorpe Hall, Hackthorpe, Penrith, Cumbria CA10 2HX.