Wolsey Pub Walk 28 September 2019
Registration for this event is on the understanding that you will raise money for East Anglian Air
Ambulance through sponsorship or other fundraising efforts.
Please download their sponsorship form from our web site www.wolseypubwalk.org.uk
Please provide all the information requested.
Registrations will not be accepted without a contact phone number.
Those taking part need to be aged 18 years or over or walking with a responsible adult.
Email address *
Title *
Forename *
Your answer
Surname *
Your answer
Contact Phone Number on the day *
Your answer
Group name (if applicable)
Your answer
If you are under 18, name of Guardian/Parent
Your answer
Guardian/Parents contact phone number
Your answer
T Shirt size *
Payment method *
Cheques should be made out to the Rotary Club of Ipswich Wolsey, and sent to the following address: John Quarmby, 12 Chestnut Close, Rushmere St Andrew, Ipswich, IP5 1ED
A copy of your responses will be emailed to the address you provided.
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