W4P Info Pack

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    InormationPack

    IN SUPPORT OF YORKSHIRE AIR AMBULANCE

    & HUDDERSFIELD TOWN ACADEMY

    Sponsored by Stotts Coaches

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    Dear Keep-it-UpWalker-or-Pounds!

    To date, over 964,000has been raised or thecampaign with our goalbeing to hit the 1 millionmark by the end o the2013/14 season

    Thank you or registering or the Walk or

    Pounds event in aid o the Keep It Up

    campaign to raise money or the Yorkshire

    Air Ambulance and the Clubs Academy,

    as sponsored by Stotts Coach Travel.

    Last seasons Walk or Pounds to

    Barnsley FC had 180 entrants and raised an

    amazing 16,000 or Keep It Up and we

    want to see i we can beat that!

    To date, over 964,000 has been raised orthe campaign with our goal being to hit the

    1 million mark - and by getting sponsored

    to take part in this event, you are playing a

    big part in helping us to do that.

    In this pack you will nd all the inormation

    you need about the day itsel, what

    equipment you should bring, sponsorship

    ino etc, however i you have any urther

    queries, please email Robyn Deegan at the

    Club on [email protected].

    Check out htac.com or more inormation on

    the Walk in the coming weeks, and join the

    dedicated Facebook group Walk or Pounds

    - LBA to Hudderseld to post your photos,

    questions and training tips.

    I you are on twitter, tweet us your training

    and undraising progress @htacdotcom

    #walkorpounds.

    At the back o this pack, you will nd asponsorship orm to help you get going with

    your undraising, all we ask is you try your

    very best to raise as much as you can or

    this great cause.

    Good luck, and thank you or your support!

    Kind Regards

    Dean Hoyle

    Chairman,

    Hudderseld Town FC

    In Association with...

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    Keep It Up is a campaign representing

    the aliation between the Yorkshire Air

    Ambulance Charity and Hudderseld Town.

    For every 1 raised or the Keep It Up

    campaign 50p goes to YAA and the other

    50p goes to the Clubs Academy.

    At the back o this pack youll nd a

    Keep It Up sponsorship orm or you to

    keep a record o your sponsors or the walk.

    I you decide to set up a Just Giving/Virgin

    Money page, please select Yorkshire Air

    Ambulance as your selected charity, then

    email the link to [email protected].

    I you are undraising as a group please

    include in the email the individual names

    o those involved.

    Please also make clear in the Events detail

    section o the Just Giving page that you are

    undraising or Keep It Up, meaning 50pin the pound will go to the Yorkshire Air

    Ambulance, and 50p to the Hudderseld

    Town Academy. It is important all sponsors

    know the split o money raised.

    Gift Aid

    When asking or donations please ask

    supporters to Git Aid their donation.

    This means i they are a UK taxpayer they

    can increase their donation by 20 per cent

    just by ticking the git aid box and include

    their name, home address and postcode

    on the sponsorship orm. For every 1 they

    donate the YAA can claim an extra 25p at

    no cost to them. Please note that the Git Aid

    is an added bonus or YAA.

    Sending your money in

    Please do not send cash through the post.

    Wherever possible encourage people to

    write cheques or their sponsorship made

    payable to the Keep It Up campaign. I you

    receive cash or cheques payable to yoursel,

    bank them and then write a cheque to theKeep It Up campaign or the ull amount.

    Please send cheques made out to Keep It

    Up campaign to Robyn Deegan at the Club.

    However you send your money to us,

    please could you have the full amount to

    us by the end of November 2013. This

    means we will then be able to announce

    how much the event has raised!

    For every 1 raised orthe Keep it Up campaign50p goes to the YAA andthe other 50p goes tothe Clubs Academy

    SponsorshipInormation

    In Association with...

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    The walk is 19 miles long,and should takeapproximately 6 and ahal hours to complete

    with stops.

    The Walk

    Set off day

    The walk will be setting o rom CanalsideSports Complex on Leeds Road, Hudderseld

    HD2 1YJ on Saturday 5 October 2013.

    We ask participants to arrive or 5.45am

    prompt, where you will be registered and

    given a YAA hi-vis vest so we can clearly

    identiy you along the route. You will be

    served a cup o tea or coee, and a hot

    sausage or egg sandwich.

    You will then get on the coaches, kindly

    provided by Stotts Coach travel, at no later

    than 6.30am or arrival at Leeds Bradord

    International Airport at 7.15am. You will then

    set o on the walk at approximately

    7.30-7.45am.

    Unortunately as it is a home matchday,

    there will be no car parking available at

    Canalside or entrants to leave their cars.

    The Walk

    Please adhere to the highway code and walk

    in single le where the pavement is narrow.

    There will be a stopping point at Odsal Fire

    Station which will be clearly marked or

    walkers to have a rest, bottle o water and a

    sugary snack or a quick energy boost. You

    will be ticked o at this point so we can keep

    a record o people ollowing the route- please

    thereore stick to the ocial route.

    Once you near the Stadium onLeeds Road,

    you will congregate at Canalside. Here you

    will be given your I completed the Walk

    t-shirt, and your YAA hi-vis vestwill be

    collected back in by a YAA volunteer. All

    walkers will then be set o together or thenal leg to the Stadium at 2pm.Please note,

    you must be back atCanalside or 2pm to

    take part in the lap o honour.

    Upon approach to the Stadium, walkers will

    congregate in the emergency exit road, ready

    to enter the Stadium or the lapo honour at

    2.30pm prompt. You will be required to wear

    your t-shirt or the lap o honour.

    In Association with...

    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    Please bring your mobilephone so we can contact

    you i necessary

    The Walk Saety & Support

    All entrants to the event are required to ll

    out a medical orm and disclaimer (at the

    back o this pack) which is to be handed in

    on the morning o the Walk. It is very

    important that this is lled out correctly and

    ready to be handed in to allow or a quick

    registration process.

    Entrants aged 15 and under must beaccompanied at all times by an adult aged

    18+ and in addition to the medical orm and

    disclaimer must ll out a parental consent

    orm which is to be handed in on the

    morning o the walk. Again, it is very

    important that this is lled out correctly and

    ready to be handed in to allow or a quick

    registration process.

    There will be support vehicles travelling

    along with the walk. There will also be St

    John Ambulance rst aiders present on thewalk, travelling in a vehicle.

    Along with the map, each walker will be

    provided with the contact telephone

    numbers o the support team should you

    need assistance at any point. Please try and

    bring your mobile phone with you so we can

    contact you i needs be.

    Each walker is responsible or his/her own

    saety, neither Hudderseld Town Football

    Club nor the Yorkshire Air Ambulance will be

    held responsible or any accidents.

    Please be aware that the walk will be

    physically demanding, please do not

    participate if you have any health

    problems which may put you at

    increased risk of injury.

    Weather

    The organisers reserve the right to cancel

    the walk i it is deemed unsae due to

    adverse weather- entrants will be notied

    should this happen. In the event o the walk

    being cancelled, arrangements will be made

    to rearrange the walk.

    In Association with...

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    Purchase your tickets orthe game by calling theHTAFC ticket ofce on01484 484123

    The Game

    V

    Match tickets

    Each walker is responsible or buying their

    own match ticket i necessary, we strongly

    advise that these are pre purchased beore

    the day.

    Entrants to this event will be able to

    purchase discounted tickets to the Watord

    game or themselves i they are not season

    card holders, or or their riends and amily at

    a special rate o 10 or adults and 5 orjuniors in any home stand. To take up this

    oer please call the HTAFC ticket oce on

    01484 484123 when the Watord tickets go

    on sale

    When purchasing your tickets, please let the

    person taking the booking know that you are

    participating in the walk.

    INSURANCE INFORMATION

    Walkers are covered with standard PublicLiability insurance. I you wish to purchase a

    more comprehensive level o insurance or

    yoursel, please eel ree to do so.

    In Association with...

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    ................................................................................................................................................................................................................................................

    ................................................................................................................................................................................................................................................

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    Walk or Pounds Sponsorship FormPlease complete this form in CAPITAL LETTERS.

    Participants Name:

    Event:Mobile Tel:Date:

    Daytime Tel:

    Address:

    Postcode:

    Dear Donor,By ticking the Git Aid Box below you enable Yorkshire

    Air Ambulance to reclaim tax on the donation detalied,

    given on the date shown. You must be a UK taxpayer andpaying an amount o tax income or capital gains tax equalto the tax reclaimed by the Charity on the donation.

    MRS ANDREA EXAMPLE 1 SMALL STREET, OLDTOWN, AB1 2CD 10.00 10.00 25/09/2013

    Title First Name First Name Home Address & Postcode Amount GivenAmount Pledged Date Given Gift Aid

    IN SUPPORT OF YORKSHIRE AIR AMBULANCE

    & HUDDERSFIELD TOWN ACADEMY

    Sponsored by Stotts Coaches

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    Medical FormMedical Information

    Your Full Name:

    ..............................................................................................................................................................

    We use this sheet seperately, hence requesting your name again.

    Do you consider yoursel to have any medical conditions we should know about (includingallergies)?

    No Please go to Next o Kin Yes Please complete the section below:Please tick all relevant boxes:Epilepsy, Convulsions or Petit Mal: Asthma:

    Diabetes Mellitus (sugar diabetes): Heart disease:

    Have you had a serious illness (e.g. Bronchitis, Chest Inection,Infuenza, Discharging Ear, Urinary Inection, etc.) in the last two months?

    Do you have any allergies? (I yes, please list in the big box below)

    Are you recovering rom an accident or broken limb?

    Are you on any medication?

    Is there any urther inormation that the organisers should know?

    Please add details relevant to any boxes ticked:

    ..............................................................................................................................................................

    ..............................................................................................................................................................

    .It is assumed that any medical conditions you may have do not prevent you rom ullling

    the event. For clarication, please consult your GP.

    Next of Kin

    Name:

    ............................................................................

    Relationship to You: .........................................Address:

    ............................................................................

    ............................................................................

    Postcode: .........................................................

    Daytime Tel No:

    ............................................................................

    Mobile Tel No:............................................................................

    Consent

    I, the undersigned, have detailed all my medical conditions that may be o concern to the

    organisers o the walk. I consent to actions that include any emergency or surgical rst aid

    treatment provided with best intention by any persons/sta involved. I understand that the

    event organisers will make every reasonable eort to contact me and/or my next o kin as

    soon as reasonably possible regarding such treatment. I understand that neither HTAFC nor

    YAA will be held responsible or any accidents or injuries

    Your Details

    First Name:

    ............................................................................

    Surname:

    ............................................................................

    Date o Birth:

    ............................................................................

    Age (i under 18): Sex (M/F):

    .................................... .....................................

    Address:

    ............................................................................

    ............................................................................

    Post Code: .......................................................

    Daytime Tel No:

    ............................................................................

    Mobile Tel No:

    ............................................................................

    Email Address:

    ............................................................................

    Date:

    ............................................................................

    Signed:

    ............................................................................

    IN SUPPORT OF YORKSHIRE AIR AMBULANCE

    & HUDDERSFIELD TOWN ACADEMY

    Sponsored by Stotts Coaches

    Thank you for registering for Walk for Pounds event in aid of theKeep It Up campaign. Please complete all the information below requested.

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    Thank you for registering for Walk for Pounds event in aid of the Keep It Up campaign. Please complete all the information below requested.

    Parental/Guardian Consent Form

    Personal Details

    Childs Full Name:

    ............................................................................

    Date o Birth:

    ............................................................................

    Age: Sex (M/F):

    .................................... .....................................

    Ethnic Origin:

    ............................................................................

    Address:

    ............................................................................

    ............................................................................

    ............................................................................

    Post Code: .......................................................

    Tel No:

    ............................................................................

    Emergency Contact Details

    Parent/Guardians Full Name:

    ............................................................................

    Home Tel No:

    ............................................................................

    Mobile Tel No:

    ............................................................................

    Email Address:

    ............................................................................

    Second Emergency Contact:

    ............................................................................

    Relationship to Child:

    ............................................................................

    Daytime Tel No:

    ............................................................................

    Mobile Tel No:

    ...........................................................................

    Health and Other Information

    Doctors Full Name:

    ............................................................................

    Any Additional Inormation:

    ............................................................................

    ............................................................................

    ............................................................................

    ...........................................................................

    ...........................................................................

    Parent/Guardians Signed:

    ............................................................................

    Date:

    ............................................................................

    Consent

    1 I consent to my son/daughter taking part

    in the Walk or Pounds event.

    2 I conrm to the best o my knowledge that

    my son/daughter does not suer rom any

    medical condition which may prevent/

    hinder him/her rom completing the Walk.

    3 I give consent or the administration o basic

    rst aid treatment i it is deemed necessary.

    4 I give ull consent or my son/daughter to betaken to hospital in case o an emergency,

    providing I am advised immediately.

    5 I give ull consent in my absence or any

    emergency treatment to be given by

    paramedics or medical sta at hospital.

    6 I give consent or photos to be taken o

    my son/daughter or marketing purposes.

    7 I understand that the Club and organisers

    accept no responsibility or loss, damage

    or injury caused by or during attendance

    on the Walk or Pounds event.

    IN SUPPORT OF YORKSHIRE AIR AMBULANCE

    & HUDDERSFIELD TOWN ACADEMY

    Sponsored by Stotts Coaches

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    Hudderseld Town, Stadium Way, Hudderseld HD1 6PX

    [email protected] | 01484 484113