Join Team Guide Dogs registration form

Fields marked with a * are mandatory

I have my own place in the following event*:

Date of the event*:

Title*:

First name*:

Surname*:

Name by which you would like to be known*:

Address line one*:

Address line two:

Town*:

County*:

Postcode*:

Email: (Being able to contact you by email will save Guide Dogs time and money)

Daytime telephone number:

Are you blind or partially sighted?*

If yes, in which format would you like further information? BrailleAudioEmailLarge printRegular print

Employer (if relevant)

Please indicate your t-shirt size

(Please note that we recommend that when choosing your t-shirt size you add 2-4 inches to your actual chest measurement for comfort when running)

Please send me a vest instead of a t-shirt

Where did you find out about fundraising for Guide Dogs?*

Other:

Declaration: I have read and accept all the points stated in the Fundraiser Agreement*

Do you agree to the declaration? *

Keeping in touch

I would like to receive Guide Dogs’ quarterly supporter magazine ‘Forward’

We would like to contact you about future Guide Dogs events. If you are happy to be contacted in this way, please tick this box

We would like to contact you by post, email or other electronic means to keep you informed about Guide Dogs, its Trading Company, its activities, products and services and ways in which you can help. If you are happy to be contacted in this way, please tick this box

Any comments?