Register for the Walk · Guernsey Memory Walk 2009

Please fill in the following registration form or download a form and either bring it along on the day or send to:

Helen Martin, Memory Walk 2009, Alzheimer’s Society Guernsey
Rue des Monts, St Sampson, Guernsey GY2 4HU

Name *
House name *
Street name *
Parish *
Postcode *
Daytime telephone *
Evening telephone *
Email address *

If you are walking as a member of a team Team name
No of entrants in team
Organisation name
Team captain

Please indicate which walk you are doing: * Pembroke Bay to Saumarez Cobo to Saumarez
Saumarez Park

Please indicate which charity you wish to support: * Alzheimer’s Society Baths at Maison de Quetteville
Both, 50/50

How did you find out about the walk?

Is there a particular reason why you want to take part?

Would you like to be sent further information about Guernsey’s Alzheimer’s Society? * Yes No

If you do not want to remain on our mailing list
for the Memory Walk, please tick

* Required field

Note: Please take care when crossing car parks and walking along the lanes. It is advisable to wear sensible walking shoes, as there are some uneven paths. Please make sure you have water with you during the walk. If you are under 11 years old, an adult must accompany you.

Conditions of Entry
I understand that I am in reasonable health and that I am taking part in this event at my own risk and will not hold the organiser responsible.

To download the PDF version of the sponsorship form you will need Acrobat Reader. If you do not have this installed please click on this link.

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