Application to join the Chaparda Challenge
I've heard about the wonderful Chaparda Challenge being organised by World Medicine - a virtual journey of nearly 6000 miles to raise funds for the annual acupuncture clinic held in the Jay Ambe Hospital in Chaparda, Gujarat, India. I'd love to take part!
Your Email Address
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Do you have a fundraising target?
If so, let us know how much do you (realistically!) hope to raise for World Medicine.
Tell us why you're supporting World Medicine.
Please write a few lines here to tell us why you'd like to join our Chaparda Challenge.
What will be your main activity? (Don't worry, your not limited to just the one you choose - but it helps us determine the best team to put you into.)
If there is someone you'd like to be in the same team with please put their name(s)here (even if they haven't yet signed up!)
Upload an image for your fundraising page
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Choose a file
upload a photograph of yourself which we'll use on the website displaying our progress towards Chaparda - smile please!
I'd like to join the Chaparda Challenge Team and will donate the adult entry fee of £12 or the youth entry fee of £6 to help with admin costs to organise the Challenge.
Consult your doctor if this will be your first exercise for some time, and let them know what you plan to do. Follow any medical advice you receive.
I understand that when taking part in any exercise such as this there is the possibility of physical injury and I agree to take part at my own risk.
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Youth Entry (under 18)
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I have a code from World Medicine
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