Trek26 London 2025 - 26 miles | Alzheimers Society 3

My Details

We need a few details about you so we can contact you about your Event and send you a fundraising pack. We may also need to share relevant details with our Event Logistics Supplier to enable your participation. To find out more about how we use your personal information please take a look at our supporter privacy statement.

Title *

First Name *

Last Name *

Email *

Mobile Number *

We'll use your phone number and email address to keep you up to date about your event.

You must be over the age of 18 to participate in this Event. Young people (over the age of 14 on the Event Date) may participate if accommpanied at the Event by a parent or guardian (who must register as a separate participant for the Event). We will be in touch with any young people over the age of 14 to confirm who they will be accommpanied with.

Date Of Birth *

How old will you be on event day? *

My Address

Postcode *

manually enter address

Address Line One *

Address Line Two

Town/City *

County

Country *

Discount Code

If you have a discount code, enter it here

Emergency Contact Information

Please provide us with contact details of someone we can get in touch with should anything happen on the Event. Please don't give us details of anyone walking with you.

Emergency Contact Name *

Emergency Contact Relationship *

Emergency Contact Phone number *

Tell us more

Please provide the below answers so that we can best support you during the Event. If you enter information in the dietary requirements and / or allergies sections, this may disclose information about your health, religious beliefs, and ethnicity. By giving us this information, you are consenting to us using it (which will also be shared with our Events Logistics Supplier) to ensure we can provide appropriate catering for you and correct support from medics/caterers in the case of allergies.

Please let us know if you have any dietary requirements

Please let us know if you have any allergies

Does your current employer have a charity partnership with Alzheimer's Society? *

Are you a current Alzheimer's Society staff member or volunteer?

Medical Information

To take part in this challenge you need to read and agree to our medical disclaimer.

I agree to one of the below statements: *

If you are unable to agree to the Medical Disclaimer, please download, complete and return this Medical Questionnaire Form to [email protected] so we can hopefully declare your fitness in order to take on this Event.

Wave Start Time

Participants will be set off at different start times, please select your preferred start time below

Start Time *

My Fundraising

By registering for this place I commit to raising a minimum of �300 (excluding gift aid) and passing all funds to the charity within 2 months of completing my Event. Please note this is in addition to the registration fee and relates to the personal pledge not an overall team amount. *

If you reach your fundraising target by one month before your Event Date, you'll be eligible for a FREE breathable trekking top. Please choose your size *

T-Shirt Size Guide

We've introduced digital fundraising packs to help reduce our environmental impact. Please select whether you would like to receive a digital fundraising pack via email, or a printed fundraising pack in the post

Create or Join a Team

CREATE FIND

If you are fundraising with someone else you can create a team.

Every member of a team MUST register via the website and pay a registration fee to take part.

Thank you for choosing to support us

We'll be in touch with information about your event soon. We'd also love to talk to you about the amazing work we do with our services and research, and how you can do more to help with fundraising, campaigning, or volunteering in the future. You can update this at any time and we'll never sell your details to third parties. If we can't reach out to you for help when we need it most, our work can't continue - so please, choose to stay in touch using the boxes below and help us beat dementia.

Yes I'd like to receive exciting updates by email

Yes I'd like to hear breaking news via SMS

Yes I'd be happy to speak to someone on the phone

Yes I'm happy to receive updates through social media

Please do not contact me by:

post

Connection to Dementia

If you indicate that you have dementia in this section, you are consenting to us using this information to help us understand our Trek26 demographic better, which may inform how we interact with our supporters in future. If you don't want us to use the information in this way, please do not tick the box that says 'person with dementia'.

Which of the following statements best describes your connection to dementia?

Person with dementia

Carer

Former carer

Relative/friend

Former relative/friend

Professional interest

General interest

Event Terms & Conditions

1.	The Event is being promoted by Alzheimer's Society however, it is not being organised by Alzheimer's Society. Alzheimer's Society therefore accepts no liability whatsoever in respect of any injury, illness, death, loss (including loss of enjoyment or possessions), damage, expense, cost or other sum or claim of any descriptions whatsoever in respect of your participation in the Event.

2.	You must carry out your fundraising in accordance with the guidelines set out in the Alzheimer's Society fundraising pack, which will be sent out to you following confirmation of your registration. Where relevant, you must take all necessary steps to protect vulnerable people and other members of the public from unreasonable intrusions of privacy, unreasonably persistent approaches and undue pressure to donate, and provide us with such information as we request to monitor your compliance with this Condition. 

3.	Should you, for whatever reason, not take up your place, all sponsor forms and sponsor money collected must be forwarded to Alzheimer's Society or returned to sponsors if requested and if this is possible.

4.	You are confirming that, to the best of your knowledge, your general state of health is good and that you take full responsibility for yourself.

5.	You participate at your own risk. 

6.	You agree to follow all reasonable rules and instructions given by the event organiser, event management company and their authorised representatives. You also agree to follow all other applicable rules, instructions and regulations of the relevant sports governing bodies.

7.	You agree that Alzheimer's Society may use without payment, notice or further consent any photographs, videos and other images in which you appear which are taken at an Event or Event-related occasion by our employees or suppliers or any participant or other person attending, in our brochure, website, social network marketing activities or any other relevant promotional material. Alzheimer's Society will not, however, identify anyone by name without their agreement.  Should you prefer that Alzheimer's Society do not use any such images in which you may appear which are taken at the Event or any Event-related occasion in any promotional materials or if you do not wish to be the subject of any photography, please notify by telephone on 0330 333 0804 or by emailing events@alzheimers.org.uk

By submitting this form you're agreeing to our terms and conditions *

Trek26 London 2025 - 13 miles