Going the eXtra mile

Your Name

Company Name (if applicable)

Date of Birth

Your Telephone Number

Your Email

Address

Are you a current WDP member of staff or volunteer?
Yes
No

Have you participated in a Going the eXtra mile event before?
Yes
No

Which challenge(s) would you be interested in?

Where did you hear about the Going the extra mile challenge?

Are you entering as part of a team? If so....

Team Name:

Participants:

We are always on the lookout for new fundraisers and if you have any ideas you feel we should know about let us know in the box below.