Vale Challenge 2015 Registration Form

General Information

Welcome to the Vale Challenge and Health Pledge registration form!

This years Vale Challenge will take place on Saturday 25th July at the Castle Pool (9am-12pm) and Farnborough Fields (12pm-3pm). We will be holding a community picnic with entertainment alongside the afternoon activities at Farnborough Fields so make sure to bring a blanket and a picnic or some money to buy from the food stalls.

Question Title

* Contact details

Name *

Company (if applicable)

Address *

Address 2

Town *

City

Postcode *

Email Address

Phone Number *

Question Title

* Are you male or female?

Female

Male

Question Title

* What is your age?

17 or younger

18-20

21-29

30-39

40-49

50-59

60 or older