Date of Birth
Only if under 18
Name & address of parent or guardian
Only if under 18
Name of nominated responsible adult
Only if under 18
Signature of nominated responsible adult
Only if under 18
Signature of parent or guardian
Only if under 18
Date

About Emmaus Bristol

We support formerly homeless people by providing a home, and meaningful work in a social enterprise.

For many who experience homelessness, one of the biggest obstacles they must overcome is a loss of self-esteem. Emmaus Bristol gives people a home for as long as they need it and the opportunity to regain their self-worth through meaningful work in a social enterprise.

We offer 24 spaces in our community to homeless people and work in solidarity with other charities and campaigns across Bristol to help those most in need.

Charity No.1071538
For more information visit

For the latest information on the sleep out visit

www,bristolhf.org.uk

All sponsorship is payable to

Emmaus Bristol

and cheques should be made out appropriately.

For further information please contact: Jess Farr () or visit our website:

Emmaus Bristol

Backfields House, Upper York Street, Bristol BS2 8QJ

Sponsored

Sleepout

at

Pip ‘n’ Jay Church, Bristol

Friday 24thFebruary 2017

Follow us on Twitter #Sleepout2017

In conjunction with Bristol Homeless Forum

Information and

Registration form

Join the Sponsored

Sleepout

at Pip ‘n’ Jay Church, Bristol

Friday 24th February 2017

In conjunction with the Bristol Homelessness Forum

Registration form

Return to:

Emmaus Bristol, Backfields House, Upper York Street, Bristol BS2 8QJ

Name PLEASE PRINT
Address
Telephone
E-mail
Company, school or organisation if applicable
Photographs may be taken during the event which may be used for promotional purposes. Do you consent to photos being taken and used for such purposes? YES/ NO
Signature & date

If aged under 18 please complete theform on the reverse side.

Details of event andregistration

Friday 24th February 2017

10 pm until 7 am

Please arrive no later than 11 pm and do not leave before6.30 am to minimise disruption

Venue:Pip’n’Jay Church, Tower Hill, Bristol BS2 0ET

Numbers: Target number of 250 maximum for all groups

Criteria for participants

The anticipated sponsorship is a minimum of £25. Sponsor forms are available on request but on-line donations are preferred.

Sleepers must be aged 18 or above OR

14 or over if attending with a parent/guardian or asuitably qualified adult with the parent/guardian’swritten consent.

This event will be all night, outside, in winterand is not appropriate for young children.

Participants are responsible for their own weather protection and comfort. It will be necessary to bringsuitable clothing and sleeping bags. Cardboard boxes and plastic sheeting may help with insulation. [No tents please].

All participants must pre-register using this form. Where appropriate, include parental permission.

Practicalities

Participants are expected to respect otherssleeping out and the residents of the area.

You are asked to avoid bringing alcohol,radios or any other items that may disturb thepeace of others. Please—no naked flames andtherefore, no smoking.

Refreshments

Hot drinks and soup will be available.

Toilet facilities will be available throughout the night and St JohnAmbulance crews will be present.

Street Parking only please - please share transport where possible and follow instructions on arrival.

Everything you bring with you —

cardboard boxes etc — must be

taken away in the morning.