Register as a Parallel Volunteer

Name *
Name
Home address *
Home address
Date of birth *
Date of birth
Emergency contact name *
Emergency contact name
Do you consider yourself to be disabled? *
Are you ambulant or non-ambulant? *
If ambulant, please tick the relevant box below to let us know what mobility aids, if any, you plan to use on the day
If non-ambulant, please tick the relevant box below to let us know what mobility aids you plan to use on the day
T-shirt size *