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Summer Walk and Talk - Sign Up Form
AFC Wimbledon Foundation are running a Summer Walk and Talk

Date: Every Monday (starting Monday 20th May)
Location: Meet at the Womble Bench outside the front of the Cherry Red Records Stadium, Plough Lane, Wimbledon, SW17 0NR.
Parking: 2 hour free parking available in Lidl across the road.

Time:10:30am - 12pm
Price: FREE

For further information - health@afcwf.org.uk

The answers you give to the following questions will be used for general analytical purposes only, and will be used to support the data collection process across all AFC Wimbledon Foundation's activities. The data you provide will be stored securely and your responses are confidential. 

First Name *
Last Name *
Date of Birth *
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Gender *
Age *
Email Address *
Contact Number *
Postcode *
Ethnicity *
Sexual Orientation *
Do you have a disability, long-term illness or medical conditions we may need to know about?
 *
If you answered yes for the above question, please provide some detail:
Emergency Contact Number  *
Emergency Contact Name  *
Relationship to Emergency Contact *
How did you hear about us?
 *

Photo Consent

We sometimes take and publish photos and videos in order to promote AFC Wimbledon events.  We may use these images on our website, in publications such as leaflets and newsletters, on social media (e.g. Instagram and Twitter). 

I consent to images being used by AFC Wimbledon Foundation and its partners for the above purposes.

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