Stride for Success Sign Up Form

Stride for Success Sign Up Form
Thank you for your interest in taking part in Stride for Success!

Please enter your details below to sign up.
Full Name*

TitleFirst NameLast Name
Date of Birth*

DayMonthYear
dd-mm-yyyy
As you are under 18, do you have permission from a parent or guardian to take part?*

Yes, I have their permission
Phone number*
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityCounty

Postcode
How many steps or kilometers do you aim to walk throughout June?*
Please specify whether you’re tracking in steps or kilometers.
How much are you hoping to raise for your challenge?*
We’ll use this to personalise your Crowdfunder page. Please note, fundraising targets should be set at a minimum of £20.
Please select your preferred t-shirt size.*
Please tell us what inspired you to join this challenge:*
This will be used on your personal Crowdfunder page.
If you'd like the chance to be featured on our social media - whether to share your reason for joining the challenge or as part of a 'Top Fundraiser' post - please upload a photo of yourself.

While we can’t guarantee all submissions will be used, we'd love to celebrate as many participants as possible!
Cancelof
I understand I must raise a minimum of £20 before receiving my fundraising pack.*

I understand
Would you like to receive marketing updates?*

YesNo
I consent for my data to be managed in line with the Rees privacy policy.*

I consent
Current date (Age)

MonthDayYear
Date
Age
Date of Consent

MonthDayYear
Date
Receive marketing
Data types submitted
Over 18
Assigned_to_Contact
Contact_Type
Should be Empty: