Walk for parkinson`s Hylands House, Essex

Walk for parkinson's
Hylands House, Essex
10am, Sunday 26 April 2015
Join us to mark Parkinson’s Awareness Week by walking
2, 4 or 7 miles in the parkland around Hylands House to help
us improve life for everyone affected by Parkinsons.
020 7963 9367
[email protected]
parkinsons.org.uk/walkhylandshouse
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More info
Choose from:
• A 2-mile circular walk.
• A 4-mile perimeter walk
of the park.
• A 7-mile walk offering stunning
views of the parkland and house.
see you there
Help us mark Parkinson’s Awareness
Week by walking in the beautifully
landscaped parklands of Hylands
House near Chelmsford.
why
There is ample parking at Hylands
House, including accessible spaces.
The grounds have full disabled and
pushchair access.
We’ll be there to award you a medal
and give you more information
about Parkinson’s UK.
Register online now at
parkinsons.org.uk/walkhylandshouse
All money raised on the day will
help us find a cure and improve life
for everyone affected by Parkinson’s.
There's no minimum sponsorship
required to take part but we suggest
that all walkers aim to raise at least
£50. Your registration fee covers
the costs of the walk.
Photos courtesy of Peter Tachauer
Every hour, someone in the UK is told they have Parkinson’s.
Because we’re here, no one has to face Parkinson’s alone.
Parkinson’s UK
Free* confidential helpline 0808 800 0303
[email protected]
parkinsons.org.uk
*Calls are free from UK landlines and most mobile networks.
© Parkinson’s UK, February 2015 (RD1663). Parkinson’s UK is the operating name of the Parkinson’s Disease Society of the United Kingdom. A company registered in England and Wales
(948776). Registered office: 215 Vauxhall Bridge Road, London SW1V 1EJ. A charity registered in England and Wales (258197) and in Scotland (SC037554).
Walk for Parkinson's at Hylands House
You can book online now at parkinsons.org.uk/walkhylandshouse
Or complete and return this form. We need one form per person
taking part. Please call 020 7963 9367 for extra copies.
1
Your details (Please print clearly)
Title
First name
Surname
DOB
Address
Mobile
2
Terms and conditions
1. The entry form must be completed by a person
aged 16 years or over. Evidence of age may be
requested. Registration is an acceptance for the
actions and consequences of the underage walker.
Participants under 16 must be accompanied by an
adult during the walk.
2. You need to be physically fit to complete the
distance. Do not take part if you feel unwell. We
strongly recommend you seek advice from your GP
before embarking on a new exercise programme.
3. To the extent permitted by the Unfair Contract
Terms Act neither Parkinson’s UK nor their sponsors
and suppliers will be liable for any loss, damage, illness
or injury resulting from negligence in consequence of
my participation in the walk.
4. In the event that the walk has to be cancelled by
the organisers due to circumstances outside their
control, entry fees will be refunded. Liability for the
cancellation or rescheduling of an Event will be limited
to the refund as set out in the terms and conditions.
5. Parkinson’s UK will not be responsible for any loss,
theft or damage of your personal belongings, other
than caused as a result of negligence or breach of
statutory duty.
6. It is the participant's responsibility to inform
Parkinson's UK of any special access requirements
they have on registration.
7. I agree to my personal and medical details
being released by the medical team to the event
organisers to inform my next of kin and statutory
authorities in the event of a medical emergency.
Postcode
Email
8. Participants are asked to stick to the signposted
route. If they choose a different route, they do so
entirely at their own risk.
9. Participants who do not act responsibly and do
not adhere to the instruction of Parkinson’s UK or
its marshals both on the day and in advance will
be fully responsible for any fees or costs incurred
or arising from an accident caused by the walker’s
negligent behaviour.
10. I consent to photographs, video, quotes and
any other record of my participation in the event
being used for marketing and publicity purposes,
both online and in print. If I do not want my photos
or quotes to be used for any purpose, I will email
[email protected] or call
020 7963 3912.
11. I agree to receive emails, mailings and marketing
from Parkinson’s UK in relation to my participation in
the event.
12. I understand that Parkinson’s UK will retain
and use the data I have provided within the terms
of the Data Protection Act, to inform me of its
fundraising and other activities. My details will not
be passed to third parties. I will inform Parkinson’s
UK if I do not wish my data to be used in this way
by calling 020 7932 1303.
SignatureDate
(parent or guardian to sign if participant is under 16)
3
Your entry
What size should your free T-shirt be?
Age 3–4
Small
Age 5–6
Medium
Age 7–8
Large
Age 9–11
Extra Large
Age 12–13
Adult
£10 each
Under 16 £5 each
Choose your route:
2-mile route
adult
under 16
4-mile route
adult
under 16
7-mile route
adult
under 16
Please make cheques
payable to Parkinson’s UK.
I would also like to make a donation
£
I enclose a total of
£
4
Card payment
Mastercard
Visa
Maestro
Delta
Card no.
Start date
Expiry date
Issue no. (Maestro only) Security code*
*(the last three digits on the signature strip are required to complete your transaction)
Cardholder’s name
Cardholder’s signature
Please return your cheque/credit card details and completed form to:
Parkinson's UK, Regional Fundraising Team, 215 Vauxhall Bridge Road,
London SW1V 1EJ.
5
We would really appreciate your help with these questions
so we can make the most of the walk. Thank you.
Where did you hear about the event?.......................................................................................................
Is there any particular reason you’re taking part?........................................................................
Are you happy to help us with publicity for the event, for example being
mentioned in your local paper? Yes
No
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