Firewalk sign-up

Please complete this form to sign yourself up for our exciting firewalk challenge!
There are two sign up options:
Fundraiser – you pay a registration fee of £20 and then aim to raise £100 through donations and sponsorship
Flat Fee – you pay a one off fee of £45 which covers your registration fee and a donation to Zephyr’s

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What a you

Name of person participating *

First

Last

Please check this box to confirm you are 18yrs or over.

• Yes, I am 18yrs or over.

Please select a sign up option:

• Fundraiser – I understand this means I will pay a registration fee of £20 and aim to raise at least £100 through sponsorship and donations
• Flat Fee – I understand this means I will pay a one off regsitration fee and donation of £45

Email *

(please use one email address per participant)

Postal Address

What has inspired you to fundraise for Zephyr’s?

We’d love to hear about what motivates you to support Zephyr’s. Please, if you feel able, let us know why you’ve chosen our charity (we encourage you to only share what you feel comfortable letting us know)

Submit

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