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Imported Application Form

Entry form

Please note our email address:

It is possible for you to type your details in the various sections before you print this form. This would be of assistance to me as I will then be able to read all the email addresses properly!

Please do not forget to enclose your £17.00 entry fee OR you can pay by direct bank transfer. The details are:

Account name: White Peak Walk Account No: 51134624 Sort Code: 60-01-33

Please be sure to put your surname as a reference on your bank transfer

If you have given an email address, you do not need to send an S.A.E. as the final instructions will be sent to you by email

First name:. Surname:..
Postcode:.. Home tel:.
Mobile telephone (for use on the day):
Email address – please print extra carefully:
Age (if under 18):.
Are you a Veteran? (over 40)Yes/No Would you prefer a vegetarian meal? Yes/No
Submitting this entry form assumes that I have read and agree to abide by the conditions of entry(available on the website)
Enclosed: Cheque for £17.00 made payable to The White Peak Walk

OR I have arranged a direct bank transfer (details above)

S.A.E. (only if you have not given an email address)

How did you hear about the walk?. (Ignore if you are a previous entrant)
To: Peter Skinner, 5, Royal Croft Drive, Baslow, Derbyshire, DE45 1SN


Please note – we will hold your data for 4 years for the express purpose of administering the White Peak Walk – after 4 years we will delete your contact details. Your contact details will never be shared with anyone else. If you would like us to delete your information before 4 years has elapsed, then please let us know.