Own Place Registration Form

If you have already secured a place in an event but would like to take part on behalf of the Salvation Army then please complete the form below

1 Your Details 2 Event Details 3 More Information

Name

Title

First Name *

Last Name *

Date of Birth

Day

Month

Year

Contact Details

Email Address *

Confirm Email Address *

Daytime Telephone Number

Address Line 1 *

Town/City

Postcode *

**For information about how we look after your details please read our privacy statement