Register your COVID Support

  • Please fill in the form below to tell us about the event you are taking part in to help Woking & Sam Beare Hospices. We would like to support you as best we can with your fundraising efforts.
    • - Woking & Sam Beare Hospices cannot accept responsibility for accidents, injury or loss incurred as a result of you taking part in your event. Please consult your doctor prior to entering any challenge event if you are not sure that you are fit or well enough to complete it.
    • - Please fill in all mandatory fields with a * next to them
    • - Once you have filled in this form the Events team will contact you within 5 working days. Thank you for supporting the hospice.
  • New legislation means we can no longer process third party data. Each participant will therefore need to fill in their own form. If you are younger than 16 years of age, please ask an adult to fill in this form for you.
  • Personal information

    Please enter your contact details below
  • Address information

  • About the event you are participating in

  • DD slash MM slash YYYY
  • We would like to keep in touch with you by email about our vital work and other opportunities to support us. Changes in legislation means that without your permission we will not be able to contact you. Please select from the options from below.
  • Woking & Sam Beare Hospices will never sell or swap your details with another organisation for marketing purposes. We will treat your details in confidence and in accordance with data protection legislation. Further information on how your data is used and stored can be found in our privacy policy . You can unsubscribe at any time or update your communications preferences by contacting us on 01483 881752 or email