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Francis House Children’s Hospice has been providing respite care for children and Please note - to claim Gift address Aid and postcode.we need a personal We cannot claim against a Company address. We understand that each of us must pay income tax or capital gainsWe each to the tax reclaimed that tax equal of us must pay income tax or capital by on our understand donation. the charity young people with life-limiting and life-threatening conditions since it opened its Gift Aid. doors in November 1991. 3 PEAKS Name of Sponsor want Francis House Children’s Hospice to reclaim tax detailed on the donations below, given on the date shown. At its site in Didsbury, Francis House serves a much wider geographical area than adult facilities, supporting families from all over the North West. We, have who names, given our correct addresses and postcodes have and who ticked the box entitled ‘Gift Aid’, SPONSORED WALK Francis House is a haven where young people can forget the problems associated with their condition. CHESHIRE 3 PEAKS WALK

Families need a break from their role as carers, and the children and young people You raise can also money at

need experiences to enrich their short lives. Sunday 7th June 2015

Please photocopy if you this form require more space.

Francis House gives support, comfort and care in the form of: £50.00 per person Suggested Sponsorship

• Skilled nursing for children in a homely, happy and secure place • An essential break for parents and for the rest of their families • Friendship, encouragement and relief, enabling the whole family to return home refreshed • A flexible service to suit the needs of the family, including home support and bereavement care No 328659 Registered Charity Full Home Address Full • A lifeline by just being available day or night

Running costs last year were £3.6million, equivalent to £9863 per day, £410.00 per www.justgiving.com/fhch/raisemoney hour, and all services given are completely free. By far the largest part of fundraising comes through charitable donations.

In May 2014 Francis House doubled its size with the opening of a further seven bedrooms to provide an age appropriate environment for teenagers and young adults.

For more information on Francis House please visit www.francishouse.org.uk Postcode FORM SPONSORSHIP Telephone No. Postcode Address Name Full Per Mile Amount Given Date (please tick) Gift Aid

Sunday 7th June 2015 !

Choose from ONE of the following two walks: The registration fee for the walk is £20.00 per person, with under 16’s free. Included in your registration fee is: Feeling adventurous • Francis House T-Shirt then why not start/finish Teggs Nose • Bacon Sandwich at the Cat & Fiddle join the 13.75 mile Visitor Centre Cat & – Vegetarian option available circular walk around Fiddle – PLEASE NOTE THIS IS FOR THE 13.75 WALK ONLY Forest, taking in the famous • Map and Directions

Three Peaks of Cheshire – per walker One form be completed to Tegg’s Nose, Under 18’s must be accompanied by an adult. FORM ENTRY and Shining Tor. Suggested Sponsorship £50.00 per person Registration from 8am – 10.00am Starting from the Car Park place your guarantee & return to complete Simply at Tegg’s Nose Visitor Please return your entry form and fee, and after the event your sponsorship Centre, the walk visits the form to: Peaks via Trentabank, The Cat and Fiddle and Francis House Children’s Hospice, Fundraising Office, 390 Parrswood Road, before returning back to the Tegg’s Nose Visitor Centre. Didsbury , M20 5NA 1.1 taking in Forest, Macclesfield around A 13.75 mile walk circular Shutlingsloe Nose, Tegg’s - of Cheshire Peaks Three the famous and Shining Tor. the walk Centre, Visitor Nose Tegg’s the car parkStarting from at The Cat and Fiddle and Lamaload Trentabank, via visits the Peaks Reservoir. 1.2 as the longer the same route This follows A gentler 6.4 mile walk. Tegg’s returningto before Trentabank the first for to 3 mileswalk itself. the Forest Nose through and sign Please read below: 1.3 - Disclaimer: I accept Walk part 3 Peaks in the Cheshire take to In choosing full responsibility my for I take that in participating in this walk, conduct at safe my and for equipment, and walking clothing own all times. of difficulty level while the expected I further understand that, and prior the event to in literature will be explained of the walk and changeable always conditions are at the start of the walk, House Francis by can be accepted safety no liability my for leaders. Hospice or walk Children’s an adult. be accompanied by must Under 18’s Signature Please note; this walk contains some very steep terrain Please make cheques payable to Francis House Children’s Hospice. Please select your chosen walk by ticking the relevant box below: box the relevant ticking by walk chosen Please select your

If you prefer a gentler walk, then why not join the 6.4 mile challenge. Ideal for families.

It follows the start/finish same route Teggs Nose as the longer Visitor Centre walk for the first 3 miles to Trentabank before returning to Surname: Tegg’s Nose through the Forest itself and Date: finishing back at the starting point, Teggs Nose Visitor Centre. CHESHIRE 3 PEAKS WALK CHESHIRE 3 PEAKS Sunday 7th June 2015

First Name: Address: Postcode: No: Contact 07 / 06 2015 contact no for Emergency Email address: Signature: old if under 18 years required parent/guardian from Signature Title: Title: Please return your £20 entryPlease return your to: fee Sponsorship(Suggested £50.00 per person) Parrswood 390 Office, Hospice Fundraising House Children’s Francis M20 5NA Manchester, Didsbury, Road, CharityRegistered No 328659