Wirral Coastal Walk Enquiry Form

First Name: Required

Surname: Required

Email Address (please check your entire mailbox, including your Spam/Junk folder for messages from us!): Required

Confirm Email Address: Required

Contact Telephone Number (you may get a call from 0151 556 5566):

Address (this may be required for sending out materials to you):

Postcode Required

Shirt Size:

Why are you taking part in the Wirral Coastal Walk and supporting Clatterbridge Cancer Charity?: Required

Are you taking part in memory of anyone?

Are you taking part as a team?

Are you a member of a Sports Club or Society, if so which one?

Would you be happy to share your story with us?

Your support saves lives, and we’d love to keep you posted on our latest developments, breakthroughs and how you can help support the work we do for people with cancer. Please tell us if you would be happy for us to contact you:

By Post

By E-mail

By Phone

By Text Message

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