'Yorkshire 3 Peaks' Virtual Walk Registration

The event in which you will be participating will require a reasonable level of fitness and endurance.  It is your responsibility to ensure that you have the appropriate level of fitness and to consult your doctor where appropriate before registering for this event. Cancer Support Yorkshire cannot be held responsible, in any way, for your safety.

Personal Information

Date of Birth
Country*
Email*
Confirm Email*
Phone*
Emergency Contact Name
Emercency Contact Number
How did you hear about this?
Reasons for Participating
Do you have a personal target that you would like to raise?

Event Information

Quantity
Price
Total
Registration Fee

The non refundable Registration-fee covers the cost of admin and medals

X
£
5.00=
£
0

Photo Consent

For publicity purposes we would like to post a photo of you with a few words about why you are supporting us. May we do this?

Consent Information

 

 

CSY would like to keep you informed about our projects and fundraising activities and ask you to opt-in to our communication options.
 
We don't share information with any third parties and you can unsubscribe at any time by contacting us.
 
 

Declaration

By registering I am confirming my ability and fitness to cover the number of steps in this challenge. I am completing this challenge at my own risk. Please tick 'Yes' to confirm

Payment Information

Amount*
£
Payment Type
We only accept credit/debit card payments. After you complete this form, select Submit to enter your card details into our secure transaction processor. Your submission will be processed when you finalize your secure payment information.
Additional Comments
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