2024 Battle of Bosworth registration & payment Fields marked with an * are required. Registration must be accompanied with confirmed payment to confirm your place. Challenger InformationFirst Name *Surname *Mobile Number *Email *Confirm Email *Do you have any medical conditions we should be aware of? *YesNoPlease provide details of your medical conditions *In case of an emergency, we would call your next of kin. Please provide a full name and phone number below (By providing these details, you authorise us to contact your next of kin for emergency purpose only)Full name of next of kin *First name & surnameContact number of next of kin *Must be different to your own numberHave you participated in a Brown Dog Challenge before?YesNoHow did you hear about the Challenge?Direct advice from one of the Brown Dog organising team memberFacebookTwitterGoogle Search / Brown Dog WebsiteLeicester HospitalsFriends & FamilyOtherTerms and Conditions It is really important that you read all the following terms and conditions before ticking the box below to accept them: I confirm that I will be aged 18 or over on the 20th April 2024 I agree to raise a minimum of £50 (Please note if you did the Great Ridge Challenge in June 2023, this is optional) I agree to to try and raise more than £50 if I can I agree to use Just Giving to set up my page and raise my money, and if I cannot use Just Giving I will contact Mark Storer at Brown Dog (markstorer1@hotmail.co.uk) I agree to read the Information Pack that will be provided for the Challenge I take full responsibility for my own safety on the walks I understand that I need to bring sufficient water and food for myself on the day I understand that I cannot bring a dog with me on the walk Consent *By ticking this box, I confirm that I want to take part in the Battle of Bosworth Fundraising WalkConsent *By ticking this box, I confirm that I have read and agree to the terms and conditions above, and I agree for Brown Dog to securely and safely process my personal data for the purpose of my registration and to keep me informed about the event.Are you already registered in our marketing database? *YesNoDo you want to receive our latest email marketing news like invitations to the Brown Dog challenges and updates on our fundraising? *YesNoWe will not share your personal data with any third parties and you can unsubscribe at any time by contacting us using our online Contact Form (https://cancerbrowndog.co.uk/contact/) or email browndog@cancerbrowndog.co.ukAdditional commentsCOSTTotal cost payable for the event£The cost to participate in this Challenge is £10 per personWhen you select the payment option below (Paypal account or card). you will be redirected to the payment page to make the payment before your registration gets completed. By processing your payment, you commit to register for this event. Once processed, you will receive an email to confirm your registration. **Please check your Spam folder if you haven’t received the confirmation e-mail for your registration (please allow a few minutes).Register
