IMPORTANT
On the day of the Walk would one of your team please go to the Registration Desk and sign in. This will help us to know who is present and who has yet to come. Thank you

2010 Awareness Walk Registration Form

NOTE: All fields must be filled in. When you have completed the form Click the Submit your details
button to send your details. If you wish to have a copy of your registration Click the Print Form button
to print out a copy before submitting your details.

You will receive an email within a minute or two with a Password which
you will need to open and print the Sponsorship Form
. You will also receive a
confirmation page on your screen within a moment or two.

(Please check your Junk mail folder if it does not appear in your In Box)

value is required.
First Name:
Please enter your First name
Last Name:
Please enter your Last name
Team Name:
Please enter Team Name
No in Team:
A value is required.Invalid format.The entered value must be less than 41.
Email:
Please enter a email address.Invalid email format.
Street Name / No.:
Please enter Street name / No
Town:
Please enter Town name
Phone or Mobile:
You must enter a 9-digit number.. Invalid format. Please enter your phone number.
Did / Did not do previous walk(s)
Please make a selection.
IMPORTANT
When you click the submit button you will receive a confirmation page in your browser window. This should only take a moment or two...
Please be patient...

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