Sponsor Form

Please sponsor (insert name) ____________________________________________________________________________________ My challenge will be to walk half a mile / a whole mile (delete as appropriate) in the following challenging way : _______________________________________________________________________________________________________________ The walk will take place at 2: 30pm at the Miles For Molly Family Fun Day, on Sunday 7th July, at the Recreation Ground, Offord Darcy. Money raised will be sent to the Foosteps Foundation in Oxford a specialist physiotherapy centre and ring-fenced to pay for Molly Moores treatment there. We hope that one day they will help Molly to walk again!! If you would like to make a donation online please visit www.justgiving.com/molly-will-walk-again

Footsteps Foundation, 4 Queen Street, Dorchester-on-Thames, Oxon, OX10 7HR (registered charity number 1123440)

To all UK taxpaying sponsors

Increase your donation at no extra cost to you! Your donation could be worth an extra 25p for every 1 just by ticking the Gift Aid box below
We, who have given our names and address below and have ticked the box headed Gift Aid? want The Footsteps Foundation to reclaim tax on the donation detailed below, given on the date shown. We understand that each of us must pay an amount of income tax or capital gains tax at least equal to the tax reclaimed by The Footsteps Foundation on the donation.

Full name
First name and surname

Home address
Not your work address (this is essential for Gift Aid)

Postcode

Amount

Date Paid

Gift Aid?

TOTAL raised this page

Footsteps Foundation, 4 Queen Street, Dorchester-on-Thames, Oxon, OX10 7HR (registered charity number 1123440)

To all UK taxpaying sponsors

Increase your donation at no extra cost to you! Your donation could be worth an extra 25p for every 1 just by ticking the Gift Aid box below
We, who have given our names and address below and have ticked the box headed Gift Aid? want The Footsteps Foundation to reclaim tax on the donation detailed below, given on the date shown. We understand that each of us must pay an amount of income tax or capital gains tax at least equal to the tax reclaimed by The Footsteps Foundation on the donation.

Full name
First name and surname

Home address
Not your work address (this is essential for Gift Aid)

Postcode

Amount

Date Paid

Gift Aid?

TOTAL raised this page TOTAL SPONSORSHIP RAISED

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Footsteps Foundation, 4 Queen Street, Dorchester-on-Thames, Oxon, OX10 7HR (registered charity number 1123440)