Night Walk 2016 Registration Form

Night Walk 2016 Registration Form

Night Walk 2016 Registration
Thank you for registering for the night walk.

Please complete the form for EACH walker. When you have registered a walker you will be given a link to register the next.

Fields that MUST be completed are shown with an asterisk *.
First Name *
Enter walkers first name
Your answer
Last Name *
Enter walkers last name
Your answer
Email Address *
Email address where walker can be contacted
Your answer
Date of Birth *
Enter walkers date of birth
MM
/
DD
/
YYYY
Address *
Enter the first line of walkers address
Your answer
Address 2
Your answer
Town *
Enter the walkers town
Your answer
Post Code *
Enter the walkers post code
Your answer
Contact MOBILE Number *
Please enter a MOBILE telephone number
Your answer
Registration confirmation *
By registering I agree that I / the walker is fit to carry out a walk of around 7.5km in the dark. I / the walker will be suitably equipped and I understand that the event will still go ahead in the event of adverse weather, unless otherwise notified. I / the walker agrees to walk with a responsible adult age 18 or over if I / the walker is age 15 or under. By taking part in the event I / the walker agrees to raise at least £20 of sponsorship for the event. Finally, I / the walker agrees to have a great time on the event!
Required
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