Newport Walk For Dementia 2021

Signup Form

Newport's Walk For Dementia is set to take place this April 2021.

Participants are being encouraged to take part in this year's virtual event by committing to walking ‘3k your way’ in April, whilst following the Welsh Government guidance in place, the official date of the walk being Sunday 25th April!

The walk is open to all ages and abilities with the aim of raising awareness and funds for Alzheimer's Society Cymru.

Please complete the signup form below to register for the event.

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* 1. Please complete the following details about yourself.

Name

Address

Postcode

Email Address

Phone Number

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* 2. What is your reason for taking part in the Newport Walk for Dementia 2021?

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* 3. Will you be walking with others? If so, who?

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* 4. Where are you planning to walk?

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* 5. Roughly how often are you planning to walk 3km for dementia?

Daily

A few times a week

Weekly

Fortnightly

Once

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* 6. Are you fundraising for Alzheimer’s Society by participating?

Yes

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* 7. What is your target? (This may be a fundraising target, distance or frequency of activity)

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* 8. Please tick below if you are happy for us to contact you about your progress and share further updates on the Newport walk for Dementia via email.

Yes

We take your data security seriously and will never sell or swap your details with third parties. You can change your preferences or withdraw your consent to be contacted at any time by clicking the relevant section on the email you have received. Information about how we protect and use your personal data is set out in our privacy policy at newportlive.co.uk/privacy.