10K family challenge entry form

Entry form - Summer Stroll Entry Form

Please accept my/our entry for the 10K Family Challenge to raise money for the named charities. Only fill out the online form below if you can pay via PayPal if not please request entry form to be sent to you by emailing your address to walk4charity2013@gmail.com

Number of adults*
Number of under 16's
Name of person paying*
First Last
Lead person paying for a group.
Email of person paying*
Phone number of person paying*
Address of person paying*
Street Address City ZIP / Postal Code
Names for certificates including under 16's - Please click the + to add all participants*
First Name Surname
I am / We are:*
Additional Notes
I would like to Donate or Fundraise*
- Donate
- Fundraise
Link to set up fundraising page will be in your confirmation of entry email. (Offline sponsorship can be paid on the day).
Summer Stroll Entry - Walk or Run
Adult entry is only £10.00 each + donation or fundraising. PLEASE REMEMBER IF YOU ARE A UK TAXPAYER TO TICK GIFT AID BOX ENABLING US TO CLAIM AN EXTRA £2.50 ON EVERY £10 THANK YOU.
Donation of:
- £10 Donation
- £20 Donation
- £30 Donation
- More
Donation more than £30
Gift Aid*
- Yes Please
- No Thank You
I, who have given my name and address want Hangers Heroes to reclaim tax on the donations detailed, given on the date shown.
Total amount payable
£ 0.00
Please make cheques/postal orders payable to : Hangers Heroes
Please complete and return as early as possible to :
HANGERS HEROES
C/O BAGWELL FARM TOURING PARK
CHICKERELL WEYMOUTH
DORSET
DT3 4EA
Terms & Conditions
By entering you confirm to the terms and conditions below.
1. I believe that I am physically fit to undertake this Challenge and will not hold the organisers or their associates liable for any accident or loss or damage as a consequence or my participation in this event and I participate entirely at my own risk.
2. Children under 16 must be accompanied by an adult.
3. By taking part all participants confirm that they are happy for any photos taken during their participation to be used in our event promotional literature.
CAPTCHA
Email
This field is for validation purposes and should be left unchanged.

First Name	Surname

Entry form - Summer Stroll Entry Form

Summer Stroll Entry - Walk or Run

Terms & Conditions