Registration – The Wokingham Walk

Registration Form

Aged 18+ Walkers:
Price: £ 15.00 Quantity:
Aged 12-17 Walkers:
Price: £ 5.00 Quantity:
Under 12 Walkers:
Price: £ 0.00 Quantity:
Children under 17 need parental consent. Click here to download child consent form. Please upload the signed form at the bottom of this page or bring along on the day of the walk.
Primary Walker:*
Primary Walker Address*
Address Line 1 Address Line 2 Town County Post Code
Primary Walker Email:*
Primary Walker Phone Number:*
Emergency Contact Name*
First Last
Emergency Contact Phone Number*
Team Name
Charity
Total
£ 0.00
Credit Card

Card Details

Cardholder Name

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