Individual Registration Form

Welcome to the Firewalk to Fundraise Individual Registration!
Thank you for joining us to take part in this exciting fundraising event. Please complete the form in full to register as an individual walker.

The entry fee is £50 per person.
⚠️ Please note: your place is not secured until both your completed form and payment have been received by the Rotary Club of King’s Lynn Priory Satellite.

Payment options:
Rotary Club of Kings Lynn Priory
Sort code: 40-26-11
Account no: 61006630
Ref: FtF Your Name

Or, if you prefer to pay by card:
https://pay.sumup.com/b2c/QHCNBUSK

Please also visit JustGiving to set up your sponsorship page and help raise vital funds for your chosen cause (optional).

Contact details will only be used in connection with this and future Rotary Club King’s Lynn Priory & Satellite events.

We look forward to seeing you take on the firewalk and make a real difference!

Email *
Your First Name *
Your Last Name *
Phone Number *
Are you walking to raise funds for a particular charity? If so, which one? *
If yes, which charity?
A copy of your responses will be emailed to the address you provided.
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