Registration Form: Stride 4 Life - Sunday 14th July 2013

Please complete the form below if you would like to come along on the day to join the walks you can for a minimum donation of £10 per adult (children free).

To register for the Darenth Stride you need to be here between 10 - 10.30 am. Walk starts at 11am.
To register for the Warwick Walk you should be here by 11am. Walk starts at 11.30am.

Darenth Stride: a 5 mile hike around Darenth Valley Country Park.

Warwick Walk: a 2 mile walk around the park adjacent to Darenth Country Park.

» Indicates required fields

Stride 4 Life Application Form

Full Name: »

Address: (including postcode)

Telephone No:

Email:

Date of Birth: (optional unless under 18)

If hospital employee please indicate ward/dept:

Would you like to tell us your reason for celebrating life?

Please indicate which stride you wish to take part in: »

Darenth Stride
Warwick Walk

Enter the characters as they appear. »

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