Team Registration
You are about to register for a
team
account for the 24Seven Challenge. The entry fee for a team is £225. Please complete the form below. Once you have registered and completed the Google online payment, you will be sent an email confirming your entry. Your account will be activated once payment has been received.
Account Details
Team Name:
*
Profile URL:
*
www.24sevenchallenge.co.uk/
(no spaces or spec. characters)
Account Password:
*
Verify Password:
*
Event Information
How did you hear about this event?
*
(Please Select)
Advert
Chelsea match day programme
CLIC Sargent Yours Magazine
CLIC Sargent Mailing
CLIC Sargent email
CLIC Sargent shop
Corporate Supporter
Fax
Local Press
Magazine Insert
National Media
Poster
Flyer
Word of Mouth
Other (please state...)
how...
Reason for taking part?
*
(Reason for taking part)
Charity
Event Appeal - Challenging
Event Appeal - Fun
Event Appeal - Easy
Experience of Cancer
Experience of Childhood Cancer
Helped by CLIC Sargent
The Cause
Other (please specify)
reason...
Wish to promote event?
*
I would be willing to promote the event via...
Company intranet
Email Friends
Posters
I will be unable to promote this event
I am willing to take part in event publicity
If you have an interesting/inspiring story to tell or if you or your friends have been
helped by CLIC Sargent, please tell us here...
Personal Details
Title:
*
(Title)
Mr
Mrs
Miss
Ms
Dr
(Title)
Mr
Mrs
Miss
Ms
Dr
(Title)
Mr
Mrs
Miss
Ms
Dr
Forename:
*
Surname:
*
D.O.B:
(dd-mm-yyyy)
*
-
-
-
-
-
-
Email:
*
Confirm Email:
*
Address Line 1:
*
Address Line 2:
Address Line 3:
Address Line 4:
Town/City:
*
County:
*
Postcode:
*
Country:
Telephone:
*
Mobile:
Contact Preference:
*
(Event contact preference)
Email
Post
Telephone
(Event contact preference)
Email
Post
Telephone
(Event contact preference)
Email
Post
Telephone
Gender:
*
(Gender)
Male
Female
(Gender)
Male
Female
(Gender)
Male
Female
Shirt Size:
*
(Size)
S
M
L
XL
XXL
(Size)
S
M
L
XL
XXL
(Size)
S
M
L
XL
XXL
Please tick the following boxes if you do not want CLIC Sargent to:
Post or email information to you about other Challenges or Running Events
Post information to you about our work
Send you emails about our work
Share your details with other organisations
I have read, and agree to, the
terms and conditions
of entry.
*
*
indicates required field.
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Registered charity number 1107328
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