Walker registration form

Pop in and see us if you would prefer a paper copy of this form.

Please complete and submit this form before joining one of our Health Walks for the first time

First name

Last name

Phone

First half of your postcode

Please provide information regarding any health/medical conditions or concerns which may be important for the walk leader to be aware of

Which type of walk would you like to join? (Tick all that apply)

The Amble

Short Walks

Long Walks

I understand that I will take part in the Balsam Centre Walks at my own risk and will seek medical advice beforehand if appropriate and agree to tell the walk leaders if there is a change in my medical condition. I agree to follow the guidance to keep leaders and fellow walkers safe.

I would like to receive updates about The Balsam Centre and its activities via the email newsletter

Your signature

Form received - thank you!

We only use your personal information for administrative purposes to support your participation. We will not use your data for any other purpose than to inform you of updates, changes or cancellations to the walks, and to email or send you the new programme of walks every six months. Your information is stored securely and will not be passed on to third parties. You can withdraw your information at any time by emailing info@balsamcentre.org.uk.

For full information about how your information is used please see our Privacy Policy.

Walker registration form

Please complete and submit this form before joining one of our Health Walks for the first time

Sign up to stay in touch