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  Secure payment via the secure website, www.purecharity.org.uk

Entry is only £3 per adult in advance or £5 on the day with accompanied children free. Note: Slough Rotary are donating all the registration fees to Rotary Internationals END POLIO NOW campaign. Entry fee entitles walkers to free water bottles and other goodies donated by our sponsors. Teeshirts and wristbands available at the start for the first 500 walkers. Children: Walkers under the age of 14 years must be accompanied by a supervising adult.

* Liability: Please tick to confirm you have read, understood and agree to the liability clause, below.

                    Walk Registration Form
Please fill in all the boxes marked *  
 
Team Name*  Nominated Charity 
Team Leader First Name  Target Sponsorship  £
Team Leader Last Name*   
House name/no* 
Street* 
Town 
County  Telephone* 
Post Code*  Email Address* 

Team Member  First Name  Last Name  Under 14?
Leader No
2 No Yes
3 No Yes
4 No Yes
5 No Yes
6 No Yes
7 No Yes
8 No Yes
Liability: I have read, understand and agree to the liability clause below. Please Tick
If more than 8 members in the team, please choose another name e.g. Slough Rotary team2, team 3 etc...

 Please check data entered carefully before continuing to payments, you will not be able to change it later.




All fields marked * are required for secure payment

Liability: Walking on public roads/footpaths can be hazardous and appropriate personal safety precautions should be taken. All walkers taking part in Slough Together Walk do so at their own risk. The Rotary Club of Slough, its officers and members, shall not be liable for any injury, damage or loss howsoever caused.

Once you have registered your individual registration number will appear automatically on the sponsorship form as confirmation. You may print your sponsorship form directly from the website.