Register for the Deal Icebreakers 2017

We have to stress the importance of registering with us before taking part in the event as you are only covered by our insurance once you have registered

We ask that you pay a minimum of £5 to register for the event, you can pay this on the next screen which will appear once you have submitted your details.

Options of payment are payment online, a cheque to our address or lastly on the day, we will call those wishing to pay on the day to ensure that your application is genuine.

Sponsor forms will be sent out once payment has been received or we have established your application is genuine

PLEASE NOTE THAT LAST DAY FOR REGISTRATION THIS YEAR IS SUNDAY 17TH DECEMBER 2017

Don't worry, you can pay £10 on the day but the queue may be long and we would hope you put at least double the amount in the bucket as you got out of fundraising!!

As we are giving every Dipper a wrist band only available to the dippers, we will not be sending certificates of completing the dip to you by e-mail from now on.

If however you would like a certificate we can e-mail you one if your request this by visiting our Contact Us page and completing the contact form and leaving your comments.

Icebreaker Registration Form

Full Name:
Address:
Post Code:
Telephone:
Email:
Payment Method:
Chosen Good Cause:
If another cause, please detail this:
We may contact you after the dip about your cause to consider this for fundraising for future years.

      

      

Icebreakers