Wear some heels and show you are a real man!!
Transcription
Wear some heels and show you are a real man!!
Walk like a Man sponsored walk Sunday 14 th June Worthing Seafront registration form First name......................................................Surname..................................................... Address.............................................................................................................................. .........................................................................Postcode.................................................... Telephone No................................................................................................................... Email................................................................................................................................... I confirm that I am aged 16+ I confirm that I take part in the Walk Like a Man event at my own risk. I hereby absolve Safe in Sussex and Worthing Borough Council from all liability caused from an injury or damage in respect of any action brought by me or by personal representatives in respect of participation in this event. My signature also acknowledges my agreement that I may be videoed, audio recorded and photographed during this event and that the images or recordings may be modified for any and all uses, including but not limited to advertisements, social media and marketing without any compensation and in perpetuity. Signed.........................................................................Date............................................. I agree that I am medically fit to take part in Walk Like a Man event Emergency contact name............................................................................................. Telephone number.......................................................................................................... Please send completed form to Louise Brooks, Safe in Sussex, PO Box 4127 Worthing, BN11 1AF Wear some heels and show you are a real man!!