Home Events 22nd June 2012 - Midnight to Sunrise Walk

Midnight to Sunrise Walk
Entry Fee: £15

You can fill in the form below and pay securely online

singing-mincepies


Your Details
Title*
First Name*
Last Name*
Post code*
Address*
Town/City*
Telephone*
std   number 
Mobile
Email*
Date of Birth* dd/mm/yyyy
Under 16?
please tick
If under 16 please state the name of the adult
you will be walking with:
I am participating in honour of
Marshal Details

Do you know anyone who could volunteer and help marshal the route? Please enter their name and telephone here and we will contact them.

Name
Tel
Who can we contact in case of emergency?*
Name
Tel
std   number 
How did you hear about this event*

*indicates a required field.
Entry Details

Dougie Mac
T-shirt size*
(included in entry fee)
Small
Medium
Large
Extra large
All ready have one

I understand and abide by these terms and conditions:

Please tick

Conditions of Entry
These conditions have been put in place to ensure the safety of all walkers taking part in this event.

• I understand that this walk is not a race.
• I understand that I will be walking along public roadways at
night and this in itself is potentially hazardous.
• I am aware that the Douglas Macmillan Hospice, their employees and volunteers cannot be held responsible for any personal injury, accident, loss, damage or public liability.
• I understand that I should be of reasonable health and fitness to undertake this challenge.
• If under 16 I will be accompanied by an adult.
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Online Entry Fee: £15.00

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