Register your gifted challenge event

You’ve been gifted a chance to take on a challenge event!

We hope you’re excited about your challenge, we just need to know a few more details about you. Please complete the registration form below to secure your place in either the NWAA firewalk, Leasowe Lighthouse abseil, NWAA skydive day, or the Base to Base Ride Out.

There may be some T&Cs associated with your event so please read them carefully. Once the form is completed a member of our events team will be in touch with more information.

For any questions, contact the team by emailing events@nwairambulance.org.uk.

Register your gifted challenge event

"*" indicates required fields

Your title*

Your name*

First Last

Address*Please enter your postcode

Address line 1 Address Line 2 Town County Postcode

Phone (Home)

Mobile*

Date of birth

Email*

NWAA fundraisers are provided with a t-shirt to wear on the day, please provide your size*

Do you have a personal connection with the charity or some other reason for supporting us?

Name who gifted your voucher

First Last

Event to selected*

I agree to raise a minimum £195 in sponsorship. All monies raised must be paid to the North West Air Ambulance Charity no later than three months after the event.

Yes

I agree to raise a minimum £95 in sponsorship. All monies raised must be paid to the North West Air Ambulance Charity no later than three months after the event.*

Yes

I agree to raise a minimum £395 in sponsorship. All monies raised must be paid to the North West Air Ambulance Charity no later than three months after the event.*

Yes

Keeping in touch

North West Air Ambulance would like to keep you informed about our work, how your support has helped keep our helicopters in the air and how you can get involved in the future.

Please tick here if you do not wish to receive information about the work of the North West Air Ambulance Charity

by post

by telephone

Using email and text messages helps us to be more cost effective. Please tick here if you are happy to receive information about the work of the North West Air Ambulance Charity

by email

by text

We promise to never share your information with any other organisation for their marketing purposes. Please see our privacy statement at www.nwairambulance.org.uk for detailed information about how we use your data.