Die hard Salford Red Devil fans

Sponsored Walk Application Form

Raising money for Salford Red Devil Foundation
Read and follow the instructions carefully prior to submitting your application.
Read and Understand the instructions.
The walk will take place on Sunday 30th September. Start time 8am. The distance will be 15 miles, walking from Manchester Airport to the A J Bell Stadium.

Match v Toulouse will KO at 3pm. On arriving at the A J Bell stadium you will be met by security. You will then have access to a room where there will be food and drinks put on for you. You will also receive your medal and certificate for all your hard work! You will also have free entry into the ground to watch Salford play Toulouse in the main stand.

At the half time whistle you will go guided onto the pitch to a hero’s welcome. A lap of honour.

There is no age restrictions for this walk but we ask if your child is under the age of 16 he/she must be accompanied by a parent/guardian over the age of 16.
I. Personal Data:

Tell us about yourself
Full Name

First NameLast Name
Birthdate:

MonthDayYear
Mobile No. :

Area CodePhone Number
E-mail :
Where the confirmation will be send to
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Gender:
During the Charity Walk

Please read careful
DURING THE CHARITY WALK

1. Obey all traffic regulations. Always walk on the pavements where possible.
2. Wear light-colored clothing so that you are more easily visible to drivers. 3. First aid supplies will be on hand at all checkpoints. Also water will be provided.
4. Do not accept a ride from any car that is not marked as an official CHARITY WALK, this vehicle is the SRD Foundation vehicle it will be available to return tired/injured walkers to the starting point. 5. DO NOT LITTER! 6. The CHARITY WALK is not a race or endurance contest. Qualified personnel at checkpoints may advise you to drop out if you appear iII/ injured. PLEASE take their advice.

please take plenty of water.
Raising money for the SRD Foundation
Please tell us why you want to do this walk and how much you are trying to raise. (We do suggest you try and reach a target of £200 for the SRD Foundation for taking on this enduring challenge.
Fill here

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Are you a Salford Fan
Emergency Contact Name

First NameLast Name
Emergency Contact Number

Area CodePhone Number
Applicant's E-Signature
By signing (typing your legal name) in the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.
E-Signature:
DH salford red devil fans wishes everyone entering GOOD LUCK!
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Sponsored Walk Application Form

I. Personal Data:

During the Charity Walk

Raising money for the SRD Foundation

Applicant's E-Signature