Register your interest
Want to keep up to date with all things Rocket Round Leicester? LOROS Hospice will send you updates about the event and other news, appeals and activities. You can, of course, opt-out at any time by contacting or
Sign in to Google to save your progress. Learn more
Email *
First Name *
Surname *
Company Name (if applicable)
Address Line 1 *
Address Line 2
City *
Postcode *
Phone *
Email address *
I understand that LOROS will use my details to keep me up to date about Rocket Round Leicester and other news, appeals and activities(you can view our privacy policy and opt-out at any time by visiting: or contacting us on (0116) 231 3771) *
A copy of your responses will be emailed to the address you provided.
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy