Please note that there is a sign-up fee of €15 for both the Phoenix Park walk and to complete the walk at a location of your choosing.
First Last
Email(Required) Phone Number(Required)
Street Address Address Line 2 Town / City County Eircode
Are you a Boots employee?(Required)Please choose optionYesNoPlease select your base location team(Required)Select a Team
Individual Group
Enter group fundraising page title(Required) Enter the name of your group which will become the title of your fundraising page. (e.g “The Smith Family” / “Harps FC” / “The Happy Hikers” etc)How many Adults (16+) are you registering for the event: Quantity(Required) Price: € 15.00 Quantity
€15 per adult, which also includes the cost of postage and packing of your T-Shirt. First allocation of T-Shirts will issue from 6th August. Please allow up to 7 working days to receive your T-Shirt(s) thereafter.
*Please note the last date we can guarantee posting to receive a t-shirt ahead of the walk is Thursday 4th Sep, however you can sign up to take part in the event up right until 9th September.
Yes No
*In support of reducing our carbon footprint, please feel free to re-use last year’s t-shirts.No. of Adults that do NOT wish to receive a T-Shirt:(Required)Please enter a number from 0 to 10.No. of Adults to avail of a T-Shirt(Required)Please enter a number from 0 to 10. ⚠️ Heads up: You’ve requested more t-shirts than the number of adults registered. Please update your selection so the numbers match. This field is hidden when viewing the formNumber
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Social media via Boots Social media via ICS Email Friends / Family Website Print Media Boots Store Radio Other
Other:
Availed of the Night Nursing service for a family member Family member / Friend with cancer Cancer survivor A good cause Other
I accept the Terms & Conditions By registering to take part in the event, you are agreeing to abide by the terms and conditions and acknowledging a fundraising page will be created upon submission of the form. Please read these before completing your registration.
Total: Payment Details(Required)
This field is hidden when viewing the formPayments to iDonateThis field is hidden when viewing the formJoined Team NameThis field is hidden when viewing the formStore CodeThis field is hidden when viewing the formArea Code
€15 per adult, which also includes the cost of postage and packing of your T-Shirt. First allocation of T-Shirts will issue from 7th August. Please allow up to 7 working days to receive your T-Shirt(s) thereafter.
