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The Midnight Walk

Saturday 13th July, 2019
This year, join us for a special edition of The Midnight Walk with a superhero theme!

Booking Details

Participant Type: *
Individual £20.00
Address Line 1*
Address Line 2
Post Code*
Please separate your post code into the two boxes
Please confirm your email address*
Telephone No.*
Date of Birth*
Parental consent
If you are aged 14 to 17, please tick to signify parental consent
Emergency contact name*
Relationship to you*
Emergency Telephone*
Please select the route you would like to walk*
5 miles.
10 miles.
T-shirt size*
I will re-use last year's t-shirt.
In memory of
If you are taking part in memory of a loved one, please enter their name.
Relationship to you
Group name
Please enter your Group Name if you are taking part in a group.
Company name
Please enter your Company Name if you are taking part as a corporate team.
Medical Conditions*
Do you have any medical conditions we should be aware of? If you don't, please enter 'none' in the box.
How did you hear about this event?*
Terms & Conditions*
I confirm that I wish to enter The Midnight Walk and understand that I do so at my own risk and St Peter's Hospice will not accept liability for any injury or loss as a result of my participation but I understand that my statutory rights remain unaffected. I agree that I should seek medical advice from my general practitioner if I am in any doubt as to my physical ability to participate in the event. By completing this form I am giving my permission for any photographs taken of me on the night to be used in future publicity.
Contact by mail*
Contact by phone*
Contact by email*
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