Register

Registration will close on Thursday 16th July 2020. So sign up now and get your team members to do so too!

Glow Twilight Walk Registration Form

Why we ask for your details

So we can contact you to keep you up to date about your walk and send out your Memory Walk pack. For more information on how we use your personal information please see our privacy statement.

Title

First Name

Last Name

Phone Number

Gender

Date of Birth

Address

Emergency Contact Name

Emergency Contact Phone Number

Your Glow Twilight Walk T-Shirt

As part of your registration you will receive a Glow Twilight Walk t-shirt. Please let us know the size you require (please note that the correct size is not guaranteed and we reserve the right to issue the closest size possible if your size is unavailable)

T-Shirt Size

Are you walking in memory of a loved one?

Yes

I'm walking in memory of...

I accept terms & conditions

Please note that your place will not be confirmed until after payment is completed.