Crusaid HIV & Aids : help & hope for people in poverty : WALK FOR LIFE : Sunday 6th June 2010
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Register as an Individual Walker

To register as a individual walker on Crusaid Walk for Life 2010, please complete the form below.

Interested in setting up a Team?

To setup a team, please register yourself as an individual walker then login to your account. You will then be provided with a facility to setup your team.

Your Personal Details
* please note required fields.
Title : *
First Name : *
Last Name : *
Address : *
 
Town / City : *
County / State : *
Post / Zip Code : *
Country : *
Mobile / Tel :
Email : *
Confirm Email : *
Gender : *
Date of birth : (DD/MM/YYYY format) *
Password (6-12 characters) : *
Confirm password : *

Setup your sponsorship page
Set your fundraising target £
Tell the world why you're joining Crusaid's Walk for Life:
Add an image to your sponsorship page (optional) :
jpg / gif / png (max 300Kb)

Additional Information
 
How did you hear about Crusaid's Walk For Life?

If other, please specify:

Have you taken part in Crusaid's Walk For Life before?
yes no

If so, in what year(s) did you walk?
02 03 04 05 06 07 08 09 Other
If other, please specify:

Do you have any special requirements that we should know about?
yes no
If so, please specify your special requirements:

Please note that by registering for the Crusaid Walk For Life you are agreeing to receive mailings and emails in relation to this event.
I am happy to receive additional mailings from Crusaid
I am happy to receive additional emails from Crusaid
 
This year we are charging a £10 registration fee. However, under 15s and unwaged (unemployed, oaps, and students)walkers are free. Please note that you will be asked to provide proof of your status upon registration on the day of the walk. Please select your status below:
 
I accept the Terms and Conditions of participation in the event
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Step forward and make a difference

Kindly supported by:

MTV Staying Alive Foundation
N4Life
Shell
Gilead
Gaydar
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