Teal Walk registration form

About you

Name (required)This field is required

Email address (required)Please enter your email addressPlease enter a valid email address

Telephone number

Home address (required)This field is required

Are you a member of Ovacome? (required)

YesNo

Are you: (required)

Someone diagnosed with ovarian cancerA friend or family member of someone diagnosed with ovarian cancerA healthcare professionalOther

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 day70,000 (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 month2 months3 months

Do you need an Ovacome fitness wristband? (required)

YesNo, I have my own fitness tracker

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Ovacome is a registered charity number 1159682

Registered office: 52-54 Featherstone Street, London EC1Y 8RT

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