The Fire Walk 2025

My Details

First Name *

Last Name *

Date Of Birth *

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My Contact Details

Email *

Phone Number *

My Address

Address Line One *

Address Line Two

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County

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Country *

Keeping in touch

We would love to keep in touch with you to share Medical Detection Dogs news, volunteering opportunities, fundraising activities and events. Please select which contact methods below you would be happy for us to contact you. *

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Please be assured that Medical Detection Dogs will look after and use your data with the utmost care and will never exchange or sell it. You can see our privacy statement and supporter promise which explains what you can expect from us and how we collect and manage information about you at medicaldetectiondogs/privacy.

REMEMBER: You can withdraw your consent to be contacted at any time by emailing [email protected] or calling 01296 655888

Medical History

Do you have any medical history that is relevant for the firewalk? *

Yes No

Emergency Contact

The Fire Walk will be hosted by Fire Walk UK who are professionals and fully trained. You will have an hours training before walking to prepare you for your Fire Walk. However, in case of an emergency, please provide an Emergency contact.

Emergency Contact Name *

Emergency phone number *

Will they be attending the event with you? *

Yes No

Participant t-shirt

We would love to send you a t-shirt to wear during your fire walk. Please let us know the size you would like below.

Participant t-shirt size *

Donations

Choose an amount:

�10

�20

�50

Other (�)

No Donation

Gift Aid Declaration:

* I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax in the current tax year than the amount of Gift Aid claimed on all my donations it is my responsibility to pay any difference.

If you have a discount code, enter it here

My Details

Create or Join a Team

My Contact Details

My Address

Keeping in touch

Medical History

Emergency Contact

Participant t-shirt

Donations

Create a team

Join a team

Invite your friends

Create a Team

Optional...invite more friends