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Please confirm the total of your deposit below (by writing £100 in the box):

Why not kick start your fundraising by sponsoring yourself? Add a £25 or £50 donation to your deposit.
 - £25 could pay for an hours support for a sibling, as they come to terms with the fact they will have to face the future without their brother or sister.
 - £50 could pay for the whole medical team for an hour ensuring patients get the best possible care as their reach the end of their short lives.

Did you know that by covering the processing fee (3% of the transaction), Helen & Douglas House will be able to help more babies, children and young adults?

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If you love Helen & Douglas House, and our events, why not stay up to date with our latest news? Without your consent we will not be able to tell you about this event next year, our future events, or contact you with any other Helen & Douglas House updates. We would like to contact you with information about how you might get involved with further fundraising, and with news about the hospice. For more information about what we do with your data, please read our privacy policy.

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* How did you hear about our skydive?

What is your reason to skydive?

* You must raise a minimum amount of £250 (excluding your deposit) but with support from our fundraising team, we think you'll smash it! How much is your personal fundraising goal?

* Emergency Contact Name

* Emergency Contact Number

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