Guildford Cathedral Abseil Application Form

Join the Eikon Team at The Eikon Charity’s Guildford Cathedral Abseiling event on the 29th February 2015and help support vulnerable young people in Surrey.

The Eikon Charity is delighted to say that we have been lucky enough to have exclusive access to the cathedral’s grounds to run this amazing event. Taking place on the ‘extra day’ on the year gives you the chance to do something completely different and amazing for Eikon.

We ask that all participants pledgeto raise a minimum of £400 for The Eikon Charity, as well as paying a £50 entry fee. All the money you raise will help us work towards our vision of developing happy, thriving and resilient young people, who are able to positively contribute to society.

If you feel that you are able to raise this amount and would like to be considered for a place, please complete this form and email it to

Please fill out every question below. Allocation of places will depend entirely on the information given on this form so please provide as much as you can.

Personal Details:

Title: / First Name: / Surname:
Address:
Post Code:
Occupation:
Date of Birth:
Contact phone number:
Email:
Job Title/Position:
Employer:
Does your employer operate a matched giving scheme: Yes/ No
If yes how much will they match? £______
T-Shirt Size:
Extra Small  Small  Medium  Large  Extra Large  Extra Extra Large 
  • How did you hear about The Eikon Charity?
  • Would you like to abseil with friends? If so please give details:
  • Have you supported an Eikon event before (please circle)?Yes. No.

If yes, please provide details, and how much you raised if this was a sponsored event.

  • What is your sponsorship target for the Guildford Abseil?
  • Please outline the ways in which you intend to reach this target (continue on another sheet if necessary)?
  • Please state your reasons for wanting to support The Eikon Charity?

Your Declaration: I pledge to raise a minimum of £400 for The Eikon Charity in return for a space in their 2015 Guildford Abseiling event. I understand that any money raised by my sponsors will be transferred to The Eikon Charity without undue delay. I am happy to pay a £50 entry fee should I be granted a place.

Signature of applicant:

Date:

Please take a copy of this form for your records and then return by post to:Heather Boardman, The Eikon Charity, Selsdon Road, New Haw, Surrey, KT15 3HP or scan and email to (any problems call 01932 347 434).