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Register for Clubbercise Now...
You will need to complete this form for each participant.
Date of Birth
This is an adults only event. Under 16s cannot take part.
Do you have any medical conditions that could be affected by your participation in this event?
If yes, please explain...
Unfortunately, you may not take part if you are pregnant on the day of the event.
Terms and Conditions of Entry
Once booked, you will receive a payment confirmation email and a place confirmation email. If you do not receive your confirmation email within two working days please contact us immediately on 01708 734366 or by email to
Lennox Children's Cancer Fund reserves the right to cancel the event, or change the venue or date. In these circumstances, all efforts to communicate changes will be made, using the contact details on the booking form above. It is the responsibility of the participant to check the email address submitted on the form up until, and on the day of, the course to find out about any such changes.
Once booked, the registration fee is non-refundable. In the event that a participant can no longer take part, the place can be transferred to another participant up to one week before the event.
Lennox Children's Cancer Fund will not be liable to refund the registration fee in the event of cancellation due to war, fire, strike lock-out, industrial action, tempest, accident, civil disturbance or any other cause whatsoever beyond our control.
On The Day:
Participants must be aged 16 years or over on event day.
Please bring a valid photo ID with you on the day. We reserve the right to request proof of age or identity, and refuse entry if this cannot be given.
Fancy dress is always encouraged! However, please ensure that your costume is functional, without loose or sharp parts, and remember that you will get hot and sweaty!
Participants agree to abide by the event rules and to follow any instruction given by the Clubbercise instructors or Lennox representatives.
Music will be provided, so the use of iPods, MP3 players or any digital music players is not permitted.
Lennox Children's Cancer Fund and Clubbercise will not take any responsibility for lost or stolen items, or personal belongings. You are advised to leave all valuables at home.
Participants agree to raise a minimum of £30 in sponsorship for Lennox Children's Cancer Fund. This should be raised in advance of the event and either given to a charity representative when signing in, or forwarded to the charity within two weeks after the event.
Participants are required to inform Lennox Children's Cancer Fund, in advance, of any injuries or medical conditions that may be affected by participation in this event. This includes, but is not limited to, asthma, diabetes, respiratory conditions and heart conditions.
If you have an injury, medical condition or if you are going to be pregnant at the time of the course please contact us in advance on 01708 734366 or email
I understand and agree to the terms and conditions of entry.
I agree to raise a minimum of £30 in sponsorship.
The registration fee is £10 per person and includes:
A two hour Clubbercise class, taught by a qualified Clubbercise instructor
A free glow-in-the-dark bracelet
When you click 'Pay Now' below, you will be redirected to Paypal to complete payment of your registration fee. If you do not have a PayPal account, you will be able to checkout as a guest using your credit/debit card. If you would prefer to pay your registration fee over the phone by credit/debit card, please call us on 01708 734366.
head Office Address:
First Floor, 1-3 Western Road
Romford, Essex, RM1 3ld
registered in england and wales
charity number 1011325
All Rights Reserved