John Bury Trust Walk - Registration

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20th May 2023 starting between 11:00 and 12:00

Depart from Ego at The Knowles Arms, Pleckgate Road, Blackburn, BB1 8QW to Whalley

Adults £5 - Children (under 18 years old) £2.50 - Pets Welcome

Please complete one registration form for each participant. Payments can be grouped. Please specify the names of people your payment is for in Additional Information below

Funds raised to support Maggie’s Stillbirth Legacy

https://www.johnburytrust.co.uk

First Name & Surname *

Email *

Contact Number *

Emergency Contact Name & Contact Number *

Adult or Child *

Adult

Child (Under 18 years old)

Payment Method *

PayPal payments to be made within 48 hours of form completion

PayPal address treasurer@thejohnburytrust.co.uk

PayPal (please enter Surname followed by JBTWalk as payment reference)

Cash/Card on the day

Additional Information

Please advise of any specific requirements, queries and the names of who your payment is for, below

I confirm I will arrive at Ego between 11:00 and 12:00 *

Yes

Submit

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