Entry Form

To enter the Denholme Doddle please fill in the form below.   Then pay your entry fee of £24 by visiting https://www.mpika.org and making a donation.

Name *

Email Address *

Mobile (please give if taken during the walk)

Landline

Address *

Address2

City *

County *

Post Code *

Car Registration (please give if left during the walk)

Emergency contact number *

Medical information relevant in case of accident (in strict confidence)

Walking Group or Running Club

Gender *MaleFemaleRather not say

Mode of Locomotion *WalkerRunner

VegetarianVegetarian

Distance *(can be changed at Checkpoint 5 only)27 miles21 miles17 miles

How did you hear of us

I consent to my data being held internally and to receive occasional emails about the event. *ConsentConsent

Submit