HOPEWalk 2017 Host Registration Form

7th –15th October

Please email your completed form to or post it to ‘PAPYRUS Prevention of Young Suicide, Lineva House, 28-32 Milner Street, Warrington, Cheshire, WA5 1AD’

HOPEWalk is an annual appeal to raise awareness and fundraise in your local community. Hosting or taking part in a HOPEWalk in your area helps local young people at risk of suicide in your area see they can be helped to stay safe and to find hope.

1. Your details

Name:……………………………………………………………………………………………………………..………….…………………………..

Address: …………………………………………………………………………County…………………………….Postcode……………….

Telephone No:……………………….…… Mobile No:……..……………..………Email:……………………………………………

I am happy to be contacted by: Telephone: Mobile: Email:

I am happy to be added to the PAPYRUS database and contacted using the above ticked methods for further information and news about PAPYRUS:

T-shirt size: S M L XL (Please circle your preferred size. All our t-shirts are unisex)

Twitter handle: @...... Instagram handle: @......

I would like to renew my membership of PAPYRUS:

I would like to become a member of PAPYRUS:

I do not want to be a member of PAPYRUS but would like to receive the PAPYRUS newsletter:

Members receive our e-News and mailed Newsletter and are eligible to vote at our annual AGM. Becoming a member is free, and by being part of PAPYRUS you will be joining a national community of people dedicated to preventing young suicide. Please help us strengthen our voice as a national charity by becoming a member.

2. Your walk

Route…………………………………… Date………………………Start Time…………………………………Total distance......

Are you walking in memory of somebody?......

If so, are there any details you would like PAPYRUS to be aware of? ......

…………………………………………………………………………………………………………………………………………………….……………………………………..

(There is no obligation to include these details)

Any other information about your walk (e.g. entertainment, raffles etc)

………….……………………………………………………………..…………………………………………………………………………………………………..……………

………….……………………………………………………………..…………………………………………………………………………………………………..……………

3. Walkers

How many walkers do you hope will take part in your walk? …………

Is your walk open to members of the public? Y / N (please circle)

If yes, may we give your details out to those wishing to join?

Name:

Email:

Telephone:

4. Sponsorship

You will recieve sponsorship forms with your pack, but if you would like additional copies please specify how many ………

You can set up an online fundraising page for the PAPYRUS HOPEWalk appeal by visiting https://www.justgiving.com/ or http://uk.virginmoneygiving.com/giving *

*JustGiving take 5% of the fundraising total as administrative commission and VirginMoneyGiving take 2%.

If you already have a fundraising page set up, please tell us the address: ………………………………………………………………………………….

5. Publicity & promotion

Would you like your walk to be:

Listed on our website:

Mentioned on Facebook and Twitter:

Sent to your local press with help from our Press Office:

I would like to use the PAPYRUS logo*:

*We will email this to you in the correct format. In accordance with our brand guidelines, please send any artwork featuring the PAPYRUS logo to the fundraising team for approval before printing. If you would like to discuss any other promotional ideas with us, or would like help creating posters and leaflets for your fundraiser, please do not hesitate to contact us.

I am happy to be featured in PAPYRUS promotional material:*

I am happy for PAPYRUS to use my photos in PAPYRUS promotional material:*

If you have a few words you’d like to say about HOPEWalk which you are happy for us to use please include them here

………………………………………………………………………………….………………………………………………………………………………….………………………………………………………………………………….………………………………………………………………………………….……………………………………………………………….…………

* This may include our newsletters, website and literature.

6. Fundraising materials

The cost of Host entry this year is £7.50, which includes entry for your group and a HOPEWalk Host pack. This contains ideas and materials to help you make the most of your walk, including: a t-shirt; literature, such as PAPYRUS posters and HOPELineUK cards; balloons, a pen; a wristband; sponsorship forms as well as detailed information about organising your HOPEWalk.

If you would like additional materials for your walkers let us know below and please allow a minimum of two weeks for your order to arrive.

Given the associated cost of materials we ask that you consider carefully which materials would be of maximum benefit to your event. If you are unsure which materials would be most suitable please contact the fundraising team who will be happy to advise.

A recommended donation of £2.60 towards postage would also be appreciated.

Quantity Suggested Donation

Collection Tins* …………… Free

*Please fill in this form if you would like a collection tin or bucket https://goo.gl/forms/qApIPbfdhDpOV2eS2

Balloons …………… £1 for 10

Car/Window Stickers …………… £2

HOPELineUK Cards …………… £1 for 50

Posters …………… £1 for 10

T-shirt (S, M, L, XL – please specify sizes) …………… £5

Pin Badges …………… £1.50

Pens …………… £1.50

Wristbands* …………… £1.50

*If you are looking to ask for donations for the wristbands, pens, or pin badges, we are able to send them in either a batch of 50 or 100. We ask for a down payment for these to ensure that the costs of the wristbands are covered. This would be £15 for 50 wristbands/pens/badges or £25 for 100 wristbands/pens/badges. You are however welcome to cover this cost from the donations given for the merchandise. The individual suggested donation is £1.50.

To pay, please include a cheque with the correct amount addressed to ‘PAPYRUS’ with this registration form, or call/email the office for our bank details or to transfer the money electronically. You can also donate on our website, using the reference ‘HOPEWalk’: www.papyrus-uk.org/donate

Please tick here to confirm you are over 16 years of age

If you are under 16 years of age please ask a parent or guardian to sign on your behalf below

Signed……………………………………… Date…………………………………….

Thanks for being a #HOPEWalkHero!

Remember to find us on Facebook, Twitter & Instagram to let everyone know you’re part of #HOPEWalk2017!

facebook.com/papyrusuk @PAPYRUS_tweets @PAPYRUS_uk

PAPYRUS is the national charity dedicated to the prevention of young suicide in the UK.

Office: Lineva House, Milner Street, Warrington, WA5 1AD Tel: 01925 572 444 Email: Web: papyrus-uk.org

Registered Charity No. 1070896 Company Limited by Guarantee No. 3555482