Walk registration form GHF-COPY Failing/idonate

All persons, irrespective of age, can participate in the Galway Memorial Walk.
Persons aged 18 years and over must register for the event.
Persons under the age of 18 years are not required to register for the event.

1. Personal Details

Name*

First Last

Email*

Address*

Street Address Address Line 2 City County Postcode / Eircode Country

Mobile Phone*

Telephone

2. T-Shirts

Please choose ONE of the following options in the section below:

NONE: I already have a Galway Hospice Memorial Walk T-shirt and will be wearing it again this year.
NON-PERSONALISED: I would like a new non-personalised T-shirt with just the Memorial Walk Logo.
PERSONALISED: Personalised T Shirts - ‘I'm walking in memory of...’

T-Shirt Option*

None
Non-Personalised
Personalised

Name to be printed on T-Shirt

I'm walking in memory of

Confirm name to be printed on t-shirt*

Please confirm the name to be printed on the t-shirt to ensure no errors.

T-Shirt Size*

Please indicate your T-shirt size (Adult sizes only):

T-Shirt Delivery/Collection*

I can collect my T-Shirt
Please post my T-shirt to me

T-Shirt Delivery/Collection

Your t-shirt will be available for collection between 12 noon and 6pm on the day and at the location specified only.

Coral Leisure, Tuam – Thursday 3rd September
Coral Leisure, Ballinasloe – Friday 4th September
McD’s Home & Garden, Loughrea – Friday 4th September
The Boat Inn, Oughterard - Friday 4th September
McD’s Home & Garden at Galway Crystal, Dublin Road, Galway – Saturday 5th September

3. Sponsorship Cards

Sponsorship Cards*

How many Sponsorship cards would you like?

Setup-iDonate

Please tick this box to have an iDonate fundraising page set up for you.

Setup my Crowd Funding Page

Phone

This field is for validation purposes and should be left unchanged.

Basket

Walk registration form GHF-COPY Failing/idonate

Galway Memorial Walk Online Registration 2020

1. Personal Details

2. T-Shirts

3. Sponsorship Cards