| Each walker must register separately so we have your
details for health and safety reasons. Please complete ALL* fields. Incomplete
registrations, will not be processed. | | Title
of walker* |
| | First name of walker* |
| |
Surname of walker* |
| | Address* |
| | |
| | |
| | |
| |
Town* |
| | County* |
| | Postcode* |
| |
Telephone* |
| | |
| | Emergency
contact* |
| | Emergency contact* number |
| |
T-Shirt size* | | |
T-Shirt collection* |
(T-shirts will be ready for collection from 30th March 2009) |
| Medical conditions* |
| |
Have you strolled before* |
| | I am walking
because* |
| | Date of birth* |
dd/mm/yyyy |
| Team name* |
| |
Terms & Conditions |
To take part you must register by filling in an application form. All entries
will be processed in the order received. Closing date for entries is Friday 24th
April, subject to the number of entries. You cannot register on the night. Because
places are limited, if you want to walk with friends please secure your places
by registering your entries at the same time. One payment must be received with
each entry. Your registration fee covers all expenses i.e: T-Shirt, bacon buttie,
drinks etc. It also secures your place and is not refundable. If you are unable
to take part please let us know as soon as possible. You must not "give"
your place to anyone else and it is important that you return your sponsorship
form even if it has no entries. All participants are responsible for their own
medical conditions; if in any doubt about your ability to finish the Star Shine
Stroll or you have a medical condition consult your doctor prior to commencing
your exercise programme. We will ask if you have any allergies or medical conditions
which we should be aware of, but this is for reference purposes only. The Star
Shine Stroll is not a race and no walkers are allowed to run or jog. You can power
walk but no walker must pass the nominated lead walkers. Disabled entrants are
welcome to take part although due to the nature of the event we ask you to contact
the organisers prior to filling in this form as people with some disabilities
might not find this event feasible. Please include your condition on the entry
form. If a disabled person requires assistance from another person, this person
must also register for the walk but will not have to pay. Only guide dogs are
accepted - no other pets or animals are permitted at the Star Shine Stroll or
on the event route. On NO account is alcohol to be brought into, or consumed prior
to and during the event. You are not permitted to use any of the sponsorship money
you raise to pay for your expenses. All sponsorship money given to you must be
passed directly to the Arthur Rank Hospice Charity - Cheques are to be made payable
to Arthur Rank Hospice Charity. We will confirm you have a place by email, if
you have not received a response within 2 weeks, you can assume your entry has
been successful. | |
Tick if you DO NOT want to subscribe to The Arthur Rank Hospice Charity
newsletter. | | Data Protection Act:
The Arthur Rank Hospice Charity will process your personal data only for the purpose
of your entry to, and participation in, the Star Shine Stroll, and for keeping
you informed about our work, promotions and future events. | |
By clicking the submit button you acknowledge that you have read and agreed
to the terms and conditions of registration. | |
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