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Join in as an individual or family

Please complete the following registration form to pledge your gift of time.

This Book of Celebration will accumulate the total number of hours pledged, in recognition of Her Majesty the Queen; you will be able to search by company, organisation, name or location to discover how others are joining in around the country.

Your name will appear in the book exactly as it is entered below.

Enter a title as you would like it to appear on your page e.g. Mr, Mrs, Dr. If entering as a family, see the ? box below and leave blank.
Individuals should enter their first name as they wish it to appear, or the word 'Family' if you are registering a family group
Both individuals and family groups should enter their surname as they wish it to appear on their page
This can be anything you like and that you will find easy to remember
Please enter the village, town or city in which you live. This will help differentiate between people with the same surnames and will appear on your page.