Register for 'Walk a Marathon in a Month'
Sponsored walk
Name
*
First Name
Last Name
Email
*
example@example.com
Mobile phone No.
*
We will add you to the 'Walk a Marathon in a Month' whats app group, unless you ask us not to below.
Please don't add me to the 'Whats app group'
T&C's and Advice to Walkers
Click to Confirm (by the participant, or parent/legal guardian if under 18)
*
Yes, confirmed
I will actively find sponsors for this event and share the 'Just Giving Page' or create my own, (details after submission)
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Yes I'm ready, sign me up!
I am happy to pay £10 registration fee and in return you will reserve a free Dementia Active t-shirt (worth £9.99) which can be collected prior to the event at Dementia Active Banbury with proof of registration or at the Rugby Club on Sunday 30th June.
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Yes please, sign me up! (By submitting this form you have read, and are consenting to the T&C's).
Register for Dementia Active Challenge
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Register for Dementia Active Challenge
Register for Dementia Active Challenge sponsored walk - 32,000 steps/16 miles to be completed between 1st - 29th June. On Sunday 30th June starting at 11am at Banbury Rugby Club we complete the last 20,000 steps or 10 miles by walking The Fringe in Banbury. If you fancy the challenge and would like to help raise funds for Dementia Active, we will send you your sponsorship form and will reserve you a free Dementia Active t-shirt (worth £9.99) which can be collected from the Rugby Club on Sunday 30th June.
£
10.00
Payment Methods
Debit or Credit Card
First Name
Last Name
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Card Expiration
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submit
the form.
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