Walk on Wednesdays Statement of Interest Form

ALL FIELDS MARKED WITH A * ARE REQUIRED ENTRIES

Walk on Wednesdays
Statement of Interest Form

Please Note:

This form cannot be submitted on-line.

YOU MUST BE LOGGED IN TO SAVE AND SUBMIT THIS FORM
You are not currently logged in to My Profile, however you may

Complete the form and obtain a printout at the end

If you log in you may

	Pre-populate certain details from your profile account
	Save your form at any time and complete it later

New users click here to , existing users click here to

Walk on Wednesdays
Statement of Interest Form

	For schools to register their statement of interest to be included in the Walk on Wednesdays programme
	School Details

School Name

*	Address
	Telephone Number (include area code)
	Email address

Fax

Fields marked '*' are required entries.

Page 1 of 5

Help

P12054