Brian House 30th Anniversary Carol Service Booking Form

Join us at All Hallows Church, Bispham on Wednesday 16th December to celebrate 30 years of Brian House. The Carol Service will start at 6:30pm.

Name*

First Last

Telephone number*

Email address*

Please let us know what your connection is to Brian House Children's Hospice*

(e.g. staff member, volunteer, patient family, supporter)

How many people (including yourself) are in your party, attending our service?*

Do you require wheelchair access?*

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