London Bridges Walk 2022Register In aid of 1 2 3 4 5 Event Date: June 26 2022 Registration Fees Adult - £15.00 Children 16 years & under - £10.00 Corporate team of 5 - £60.00Which charity are you walking for?*As the organising charity, and responsible for all the event costs, The Griffin Institute will receive 100% of funds raised by registrants who select The Griffin Institute as their chosen charity at the point of registration. Partner charities will receive 70% of funds raised by registrants who select them as their chosen charity at the point of registration. The organising charity The Griffin Institute will receive the other 30%. The Griffin Institute will receive 60% of funds raised by registrants who select all charities at the point of registration. The partners will receive an even share of the remaining 40%. The Griffin Institute will receive all event registration fees to help cover event costs.The Griffin InstituteSt Mark's Hospital FoundationThe Red Lion GroupHillingdon Hospitals CharityLondon North West University Healthcare NHS Trust (LNWH) CharityAll of the aboveAbout YouWhich distance are you walking?*6.5 miles13 milesName* Dr.MissMr.Mrs.Ms.Prof.Rev.Other. Prefix First Last Prefix. if OtherDate of Birth*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Email* Phone*Address Street Address Town or City Post Code T-shirt size*SmallMediumLargeXLXXL Multiple ParticipantsAre you entering as a family or corporate team?*YesNoCompany NameAdditional ParticipantsAdd as many as you need using the + icon.TitleFirst NameLast NameDate of BirthEmailPhoneGuardian Name (If under 18)T-shirt size (S, M, L, XL, XXL, Age 7/8, Age 9/10, Age 11/12) Emergency Contact DetailsThis must be someone NOT taking part in the event.Name* Dr.MissMr.Mrs.Ms.Prof.Rev.Other. Prefix First Last Prefix. if OtherContact Number*Relationship to main registrant / Team leader* Additional DetailsHow did you hear about the event?*FlyerSocial MediaLinkedInWord of MouthWebsiteFriends or familyOne of the participating charitiesOtherIf other please tell us where you heard about the event here.Which charity?Photography*Photographs I appear in during the event can be used by The Griffin Institute and St Mark’s Hospital Foundation for publicity and marketing purposes.YesNoKeeping in Touch / Data protectionWe would like to keep in contact about upcoming news, events and fundraising activities using the contact details you have supplied. Only the charity / charities you have chosen to support will contact you. We value your support and privacy, we will not share your details with any third party organisation Select All Newsletter / updates Fundraising events Opportunities to donate Please tell us how you would like to receive this information (please tick as many boxes as you like) Select All Email Post Telephone Text / SMS Leaving a gift in my WillI would like to know more about leaving a gift in my Will. Yes No Leaving a gift in my WillPlease tell us how you would like to receive this information (please tick as many boxes as you like) Select All Email Post Telephone Text / SMS Privacy and Terms & Conditions*For more details about the way we use your information, please see the privacy policies on our websites. Terms & Conditions I agree to the terms and conditions PaymentRegistration Fees Adult - £15.00 Children 16 years & under - £10.00 Corporate team of 5 - £60.00 ‘Please enter the number of participants (Adults and Children) or the number of Corporate teams of up to 5 participants.Adult Price: £ 15.00 Quantity: Children Price: £ 10.00 Quantity: Corporate Team Price: £ 60.00 Quantity: Total £ 0.00 Billing Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Payment Method*Card Details Cardholder Name Please Enter Your Card Details
