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Participant Registration
Please note that there is a registration fee of £30 per person. This will cover custom branded t-shirt and organising logistics of the event. A member from our team will call you to process your payment and confirm your registration.
Event
50k Walk-A-Thon: Wed 25th Dec 2024
Gender
Male
Female
Participant First Name
Participant Last Name
Date of Birth
T-Shirt Size
Small
Medium
Large
X-Large
XX-Large
Email
Phone Number
Address Line 1
Address Line 2
City/Town
Post Code
Next of Kin's Full Name
Relationship
Spouse
Children
Parent
Friend
Other Family
Phone Number
How is your health currently? (It is the responsibility of the participant to be fit to compete on the day of the walk. If you have any medical issues which you think may put you at risk when walking, see your GP prior to commencing on a training programme.)
Excellent
Very Good
Good
Average
Poor
Do you have any of the following conditions?
Asthma
Breathing Difficulties
Heart Condition
Diabetes
None
Other
Please Specify
Fundraising Target £
How did you hear about us
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Internet Ad
Television Ad
Radio Ad
Google Search
Billboard Poster
Leaflet
Family or Friends Recommendation
Other
Confirmation (Please tick to agree)
1. You must be able to finish the walk in under 10 hours. 2. Participants must compete on foot. 3. You understand that you are participating entirely at your own risk. 4. Help Yateem, its sponsors and suppliers, including local authorities and facilitating agencies will not be liable for any loss/damage, illness or injury whatsoever directly or indirectly, occasioned by or resulting from the negligence, wrongful act or any other cause of the participant. 5. Help Yateem reserves the right at its absolute discretion to alter the date of the event or to change the published course as deemed necessary at any time and to alter without prior notice the contents of each walk pack and event media partners. I also hereby give permission to use my/our name, quotes, video footage and photographic likeness for marketing and promotional purposes. I also agree to pay a registration fee of £30 to participate. I have understood the terms and conditions of the Help Yateem 50km Walk-A-Thon 2024 and wish to register for a place.
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