ROTARY CLUB OF LETCHWORTH GARDEN CITY
                               THE GARDEN CITY CHARITY WALK: REGISTRATION FORM
                                               SUNDAY 19th MAY 2019

 

NAME OF CLUB, CHARITY OR ORGANISATION                                         

YOU WILL BE SUPPORTING:                            _________________________________________                                

YOUR NAME & INITIALS  (Mr/Mrs/Ms/Miss):       ______________________________________

                    

YOUR ADDRESS: ______________________________________________________________
                                      
                                                                                                        Post Code:    _____________



TEL No. _________________________    E-MAIL ___________________________________

(Please print off more, as needed)
I wish to register the following walkers (First Name & Surname in BLOCK CAPITALS  please**)

** Only address of the Leader necessary for all groups, uniformed or similar organisations


1.   __________________________________________________

2.   __________________________________________________

3.   __________________________________________________

 

4.   __________________________________________________

 

5.   __________________________________________________

 

6.   __________________________________________________

7.   __________________________________________________

8.   __________________________________________________
 

9.   __________________________________________________
 

10.   _________________________________________________

​Please Read: I agree to take responsibility to ensure every effort is made to collect the sponsorship money
and to pay 20% of the total raised to the Rotary Club of Letchworth Garden City no later than June 30, 2019.
** Cheques payable to: The Rotary Club of Letchworth Trust Fund

 

Signed _________________________________   Dated_________________________
       
Please return this Form (or more if registering over 10 walkers) to:

                         YVONNE SONNEN: THE VENUE, 33 COPPERFIELD CLOSE, STOTFOLD SG4 5GA

              

   Individual SPONSOR CARDS for each walker will be SENT TO YOU by post to the address you include above

                                          
    Thank you for registering with us, we look forward to seeing you on

SUNDAY, MAY 19, 2019

START TIME AS DESIRED BETWEEN 8.30am - 10.00am

Please Note: The Rotary Club of Letchworth Garden City cannot accept liability for injury to participants
or their property.Walkers take part entirely at their own risk. Those UNDER 15 YEARS OF AGE must
be accompanied by an adult – whether walking individually or in a group.

 

Further details available from:

Yvonne Sonnen, Walk Organiser

Tel 01462 835015

Email: yvonnesonnen@hotmail.co.uk

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