Challenge event registration form
Thanks for joining #TeamTemwa and taking on a challenge to support our work! Please complete this form to reserve your place.
Full name:
Your answer
Date of Birth:
If you're under 18, or filling in this form on behalf of someone who is, please get in touch to check if minimum age limits apply - email heather@temwa.org
MM
/
DD
/
YYYY
Email address:
Your answer
Telephone number:
Your answer
Your chosen event(s):
Required
Where did you hear about the event?
Your answer
Sponsorship target:
Each event has a minimum sponsorship amount, detailed on the event page and in the info pack, but please aim as high as you can!
Your answer
Are you entering as part of a team?
If so, who are the other members?
Your answer
Emergency contact name
Your answer
Emergency contact phone number
Your answer
Emergency contact relationship to you
Your answer
Are you happy for us to give you some online encouragement?
If so please give us details of your Facebook/Twitter accounts.
Your answer
Would you like to hear more about what we're up to in the future?
We'll send you a monthly email with updates on our work in Malawi and our events here in the UK. We'll never pass your details onto anyone else.
Liability and fundraising agreement:
Temwa can accept no liability for individuals taking part in this event. The organisers will take all necessary precautions against accidents, but in signing up I am aware that I am responsible for myself and my actions. I also agree to meet the minimum sponsorship amount as listed on the event page, and consent to Temwa taking photos/video of me at the event to use in their communications.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms