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REGISTRATION

Charity Challenge – 40 Mile Walk

Please complete this form in as much detail as possible.

Upon completion, you will be directed to pay your registration fee.

    Personal Information:

    Full Name

    Age

    Gender

    Email Address

    Phone Number

    Emergency Contact Information:

    Emergency Contact Name

    Emergency Contact Phone Number:

    Participation Details:

    Have you participated in a charity walk before?

    ⁠Do you have any medical conditions we should be aware of?

    If you answered 'yes', please give details

    ⁠How did you hear about this event?

    If you answered 'other', please specify

    Additional Information:

    ⁠Would you like to volunteer for other activities during the event?

    If you answered 'yes', please specify your area of interest

    Any other comments or suggestions

    Consent
    ⁠I agree to the terms and conditions of participation and consent to my information being used for event organisation purposes.

    AKHIRAH TEAM

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