Run, or Walk, for Parkinson 2024 - GESLOTEN

13.04.2024 REGISTRATION FOR RUN, OR WALK, FOR PARKINSON’ IS NOW CLOSED.


If you would like to be added to our waiting list, please do not hesitate to contact us at 20km@demoucelle.com.



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If you are registering as part of a group, please provide the group name below.
Family Name *
Firstname *
Gender *
Date of birth   Please use the format: DD/MM/YYYY 
*
Nationality *
Country of residence *
Postal code *
Municipality *
Street *
House Number *
Telephone number *
Email *

How long do you expect to take to complete the 20k?   (Please use the format: HH:MM)

*

Are you a runner, walker or para athlete?

*
Type of T-shirt *
Size of T-shirt *
Emergency contact telephone number
*

Do you agree that the Demoucelle Parkinson Charity can send you newsletters (approx 6/year)?

*

Please confirm that you have read the following message:

 AS WE HAVE REACHED THE MAXIMUM NUMBER OF REGISTRATIONS FOR RUN, OR WALK, FOR PARKINSON 2024, WE CANNOT GUARANTEE A PLACE. WE WILL PUT YOU ON THE WAITING LIST AND CONTACT YOU IF WE HAVE A PLACE FOR YOU.

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