Register Now!

You can register and pay your entry fee right here! Simply fill in your details below and click submit. You'll then be redirected to HSBC's secure payments page where you can enter your credit/debit card details to complete your registration.

And don't forget you can include a glow pack when paying for your registration for just £6.00. The glow pack contains a flashing wand and a set of flashing bunny ears to help you stand out on the night. This is the only time you'll be able to purchase your glow pack so don't miss out!

Please ensure when registering that the address you provide below matches the address to which your card is registered. This will avoid any problems with your payment being accepted on the HSBC payment page.

Your Details

Title *

First Name *

Surname *

Address line 1 *

Address line 2

Town *

County

Postcode *

Tel no *

Mob

Email *

Date of Birth (DD/MM/YY)

Registration fee

Would you like to include a glow pack in your registration for just £6.00? The glow pack contains one pair of flashing bunny ears and a flashing wand which will help you stand out on the night!

Yes I would like to add a glow pack to my registration at £13.50
No thanks I just want to pay for my registration at £7.50

Do you know any male volunteers?

If you know any men who can help marshal on the Midnight Sleep Walk please tick the box and provide their details.

Name

Address 1

Address 2

Postcode

Tel

Mob

Disclaimer

I certify by ticking the following box that I have read, understand and agree to the terms and conditions of entering the midnight sleep walk event.

Tŷ Hafan values your support and promises to respect your privacy. The data we gather and hold is managed in accordance with the Data Protection Act (1998). We will not disclose or share personal information supplied by you with any third party organisation without your consent.

By providing your details, you will be indicating your consent for Tŷ Hafan to contact you by email, letter or by phone to inform you about future fundraising activities and appeals, unless you have indicated an objection to receiving such messages by ticking a box below.

I do not wish to be contacted by

Email Telephone Mail