Caldecotte Xtreme Challenge Entry Team of 5

Name: Action4Youth
Address: 5 Smeaton Close, Aylesbury, Buckinghamshire, HP19 8UN, GB
Telephone: 0300 003 2334

£300.00 – £1,300.00

To register and pay, please fill out the form below.

You will need to choose to pay for the entry fee and raise your money as you prepare for the event; or pay for the entry fee and include a donation of £1000.

Entry per team is £300.

Team Size

Clear

Register and pay for your Xtreme Challenge Team of 5 People
Name*
First Last
Email Address*
Organisation
Team Name*
Team Leader Name*
First Last
Team Leader Email Address*
Person 2 Name*
First Last
Person 2 Email Address*
Person 3 Name*
First Last
Person 3 Email Address*
Person 4 Name*
First Last
Person 4 Email Address*
Person 5 Name*
First Last
Person 5 Email Address*
Specific medical information or allergies for team members*
If YES, it is important to disclose details to us.
- Yes
- No
Details*
Special dietary requirements for team members*
Please outline any special dietary requirements for team members.
- Yes
- No
Details*
Marketing Consent

We are hoping to get some great action shots of teams on the day. We'd love to use these on our social channels, website and in the press. Please tick here if you and the members of your team consent to this use.
Marketing Communication Consent*
- We consent to this use.
Marketing Communication Consent

We would like to use your contact details to communicate with you with news and information about Action4Youth and ways to support us.
- We agree
Gift Aid

If you are collecting sponsorship please ask your sponsors to tick the Gift Aid box on JustGiving (if appropriate). With Gift Aid, any donations made could be worth 25% more at no extra cost to your sponsors.

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Caldecotte Xtreme Challenge Entry Team of 5

Register and pay for your Xtreme Challenge Team of 5 People

Marketing Consent

Marketing Communication Consent

Gift Aid

JANUARY 2022

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