Miles in Their Shoes - Individual Reg Form 2023

Miles in Their Shoes 2023- Individual Registration

Thank you so much for registering to take part in Miles in Their Shoes

Personal Details

Name *

First name

Last name

Email Address *

Mobile Number *

Address *

House name or number

Address line 1

Address line 2

Address line 3

Address line 4

City

County

Postcode

Country

T Shirt Size *

The Challenge

Are you registering as part of a team or as an individual? *

If you selected team, please select which team you are a member of

Please note, if your team isn't listed here please email lauren@kidsclubkampala.org.

Are you registering with someone else?

If you are completing the challenge with someone else who has registered or is about to register, please enter their name below to ensure you're on the same team.

Team Mates Name

How many miles are you planning to complete in 10 weeks? *

(For reference, 10,000 steps is approximately 5 miles)

How are you going to complete your miles?

Please select Yes for all that apply (you can mix and match on your miles!)

Walking

Running

Cycling

Swimming

Are you interested in being the team leader?

Each team will have a leader who is responsible for motivating the team and encouraging them in their challenge and their fundraising. They will also provide Kids Club with updates about how their team is getting on. If you're interested, please tick this box and we will send you further information.

Interested in Being a Team Leader

Yes

Consent and Permissions

How did you hear about Kids Club Kampala?

Terms and Conditions

By ticking this box you understand that you will need to set up your own fundraising page with a target of £150, which will support our vital projects in Kampala's slums.

I agree *

By ticking this box you understand that your name and phone number will be shared with other members of your team, via What's App, as part of your team fundraising support.

I agree *

By ticking this box you understand that you will need to download the app 'World Walking' to track your mileage as part of your team

I agree *

Consent

We will be contacting you via email, phone, text and post for this challenge. Please acknowledge this. *

We would also love to keep you updated about our vital work! Choose what you'd like to hear about by ticking the boxes below (you can unsubscribe or update your preferences at any time).

Monthly News & Project Updates

Marketing, Events & Fundraising