Walk Walk Sign Up | Our Lady Star of the Sea

First name

Last name

Email

Phone

Address

Are you signing up as an individual or a group?

If a group, please list names below:

Emergency Contact Name & Phone Number:

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

No

Yes

If Yes – Please specify:

Would you like to set up a sponsorship page or receive a sponsorship form?

Yes

No

Where will you meet us on the Day?

I will meet you at Hooton at 8am to Travel on the train as a group

I will meet you at West Kirby at 9am

I plan to walk a shorter distance then the full 12 miles

I understand that I am participating in this charity walk at my own risk and that the event organizers are not liable for any injuries or accidents.

I give permission for photos taken during the event to be used for parish promotions.

Signature

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Our Lady Star of the Sea | St Bernard of Clairvaux | St Saviour