Register for 'Make a Move!' - The Grand Appeal

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Parent/guardian full name(Required)

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Contact number(Required)

Patient(s) details

Full name of patient(Required)

Patient's date of birth:(Required)

Please select which of the shared care centres you come under:(Required)

Please provide the total number of adults and children, including the patient, who will be attending:

Please be aware this event is open to patients, parents/carers, siblings and one friend of the patient.

Adults

Under five years

5-12 years

12-16 years

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We would like to keep you up to date about news post-event from The Grand Appeal and the ‘Make a Move’ Event Team – how would you like to hear from us. Please tick your preference:

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By ticking this box, you confirm you have read and agree to the Terms & Conditions.

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By submitting your online registration, you are giving consent for your child/children to participate in this event.

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Register for ‘Make a Move!’

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Patient(s) details

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Save the date because Wallace & Gromit's Wrong Trousers Day is back on Friday 16 May.