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Ovacome Ovarian Cancer
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07503 682 311
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Teal Walk registration form
About you
Name
(required)
This field is required
Email address
(required)
Please enter your email address
Please enter a valid email address
Telephone number
Home address
(required)
This field is required
Are you a member of Ovacome?
(required)
Yes
No
Are you:
(required)
Someone diagnosed with ovarian cancer
A friend or family member of someone diagnosed with ovarian cancer
A healthcare professional
Other
If ’other’, please specify:
Your Teal Walk challenge
By registering to take part in the Teal Walk challenge, you are agreeing to raise a minimum of £150 for Ovacome’s services.
(required)
I agree
Weekly step target:
(required)
17,500 (equivalent to 2,500 steps a day)
35,000 (equivalent to 5,000 steps a day
70,000 (equivalent to 10,000 steps a day)
140,000 (equivalent to 20,000 steps a day)
How long would you like to take on the challenge for?
(required)
1 month
2 months
3 months
Do you need an Ovacome fitness wristband?
(required)
Yes
No, I have my own fitness tracker
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