Midnight Walk 2022 - Sign up

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Register for the Midnight Walk 2022 – Saturday 3 September

Choose from 20, 13, 7 or 2 miles. Make your steps count and help us care for more families when life comes full circle.

Earlybird registration fee before 30 June: £15 adult, £10 under 18. Standard registration fee after 30 June: £20 adult, £12 under 18

Your details

Name*

Title First name Last name

Date of Birth*

Gender

Email*

Phone*

Can we keep in touch?*

Yes, I am happy to receive occasional phone calls

Yes, I am happy to receive text messages Mobile (please enter mobile number above)

Yes, I am happy to receive emails

No, I do not want to receive information in the post

We will keep your details safe and secure. More information on how we use your data can be found in our privacy statement, which can be viewed on our website at privacy statement. For further details, or if you would like to change your preferences on how we contact you, please call one of our Supporter Services team on 01293 447360.

Address*

Street Address Address Line 2 City County Postal code Country

Emergency Contact Name*

Emergency Contact Phone*

Event entry details

Are you registering as an individual or team?*

Individual

Team

Route Distance*

What is your reason for taking part in the Midnight Walk?*

Other*

Were they cared for by St Catherine's?*

Yes

Where did you hear about the event?*

Other*

T-shirt size*

Your Team Details

Team name*

Team Members

Name	T-shirt size	Ticket Price	Actions

There are no Members.

Payment details

Today's Date

Your Ticket

Price:

Team Members Total

Price: £ 34.00

Total

Credit Card*

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

By submitting this form you confirm that you have read and agree to the Terms and Conditions, and Health Waiver.