Sparkling Afternoon Tea | Alexander Devine Children’s Hospice Service

Primary Contact Details

Title *

First Name *

Last Name *

Email Address *

Phone Number *

Address Details

Address Line One *

Address Line Two

Town/City *

County

Postcode *

Country *

Table Details

Please complete the form below with the details of your table and guests. Tables are in sizes of up to 8 people, but if your table is smaller than this you may be put on a table with other groups or individuals. If you have the names and details of your guests please provide these, if not then we will be in touch to confirm these at least a week before the event.

Group Name

Number of Entries *

Team Price: �0.00

Do you know the names of your guests? *

Yes No

Do you or any of your guests have an dietary requirements? *

Yes No

Keeping in Touch

We'd love to keep in touch with you after our Sparkling Afternoon Tea to let you know how your fundraising helps the children and families we support, as well as keep you updated on our upcoming events and further opportunities to get involved. You can find out more on how we process and use your personal data on the Alexander Devine website: www.alexanderdevine.org/privacy-statement

Please let us know if you would like to hear from us regarding the following:

General updates from Alexander Devine and fundraising events *

Yes No

Corporate and small business opportunities to support *

Yes No

Volunteering opportunities *

Yes No

Donations

If you would like to make an additional donation to Alexander Devine Children's Hospice, we would be grateful for your support. Your kindness means that we can be there for over 200 local children with life-limiting or life-threatening conditions, and their families, who rely on our vital services. Thank you.

Choose an amount:

�5

�10

�20

�50

Other (�)

No Donation

Gift Aid Declaration

* I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax in the current tax year than the amount of Gift Aid claimed on all my donations it is my responsibility to pay any difference.

If you have a discount code, enter it here

Terms and Conditions

Attendee Cancellation 

Should you wish to cancel your attendance at our Sparkling Afternoon Tea please provide Alexander Devine Children's Hospice Service with as much notice as possible. In order to receive a full refund, all cancellations must be received at least two weeks prior to the date of the event. Any cancellations received after this time will not be considered, unless in extenuating circumstances, due to payments already having been made to the caterers, equipment hire and other third party contracts by our children's hospice service. 

Event Cancellation

Should the event be postponed or cancelled due to unforeseen care needing to take place at our children's hospice or extreme weather, all guests will receive the option to attend the rescheduled event or receive a full refund for the tickets paid.  

Photography

Photos will be taken throughout the event and your image may be used in promotion of future events. If you wish to withdraw photo consent, please email fundraising@alexanderdevine.org and make yourself known to a member of staff at the registration on the evening on the event. 

This event is strictly 18+, by agreeing to the terms and conditions you agree that you meet these requirements.

I have read and understand the Terms & Conditions *