Saint Francis Hospice - Strictly Saint Francis

Please complete the following application form if you would like to apply for a place in Strictly Saint Francis 2025.

Contact Info

Title *

Mr
Mrs
Ms
Miss
Dr

First name *

Last name *

Phone *

Email *

Height *

Why would you like to take part in Strictly Saint Francis? (Please give us as much detail as possible) *

Do you have any dancing experience? (If 'yes', please provide details of experience) *

Are you able to commit to our launch night on Friday 11th July? *

Yes I can attend the launch night on Friday 11th July
No I cannot attend the launch night on Friday 11th July

Are you able to commit to training with your dance partner? *

Are you able to commit to performing on 24th October with your dance partner? *

Do you pledge to raising £1,500 for Saint Francis Hospice? *

How do you plan on reaching your target? *

Do you pledge to selling at least 10 tickets for the event? (£22 each) *

Would you like to share your story and reason of support? *

How did you hear about this event?

Your support can make a real difference to local people who need our professional hospice care.

We’d like to keep you up to date on our work, tell you about our services, fundraising activities and the difference your support makes.

Please let us know if you’re happy to hear from us by email and SMS / text.

Yes, I’d like to hear from you by email

Yes, I’d like to hear from you by SMS / text

We promise to keep your details safe and never sell or swap them with anyone. You can opt out of any type of communication at any time. If you would like to change how we contact you, email us srt@sfh.org.uk, phone us 01708 723593 or write to us The Hall, Broxhill Road, Havering-atte-Bower, Romford, Essex, RM4 1QH.
For details of how we use your data, see our Privacy Policy.

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