Registering to Walk for Wag

Whether you’re taking part as an individual or as part of a group...

Letting us know whether you’re walking individually or as part of a group will simplify your registration process.

All the information requested helps us to manage event numbers and everyone's safety on the day too. Thanks for your help!

Contact and general information...

Completing this form in full ensures every adult walker receives their all important Walker number by email on submission.

We'll also use your email address to keep you updated with news about the event, the weather, the joining instructions etc. We will never share your information with third parties.

Once you've submitted your form, you'll be taken to the Walk web page which will give you all the links you'll need to start fundraising.

You're ready to get started!

Mandatory fields are marked as 'Required'. If you find that you can’t submit your form, chances are that you’ve not filled in one of the mandatory fields.

If you have any difficulties submitting your form please contact us here.

Registration form

Are you registering for the 8km or the 3km walk?(Required)

Are you registering as an individual or as a group?(Required)

Your details

Full Name(Required)

Title Preferred Name Surname

Email(Required)

Enter Email Confirm Email Address

Address(Required)

Address Line 1 Address Line 2 City County Postcode

Preferred Telephone Number(Required)

Hidden

Mobile Telephone Number

Emergency Contact Name(Required)

Title Preferred Name Surname

Emergency Contact Number for the day of the event(Required)

Car?(Required)

Yes

Dog/s?(Required)

Dog/s Name/s?(Required)

Why are you fundraising for Wag & Company?

Please tell us why you are fundraising for Wag & Company and why this particular cause is important to you. Whatever you tell us may be mentioned by the Announcer on the day or used anonymously as part of raising awareness of our services.

Group details

Group Name(Required)

Company Name & Office Location (where applicable)

How many adult walkers are in your group including you, the leader?(Required)

How many walkers under 16 are in your group?

Additional walker details

Please enter the information for your additional adult walker/s below.

Additional walker 1

Full Name(Required)

Title Preferred Name Surname

Email(Required)

Enter Email Confirm Email Address

Emergency Contact Name(Required)

Title Preferred Name Surname

Emergency Contact Number for the day of the event(Required)

Car?(Required)

Yes

Dog/s?(Required)

Dog/s Name/s?(Required)

Additional walker 2

Full Name(Required)

Title Preferred Name Surname

Email(Required)

Enter Email Confirm Email Address

Emergency Contact Name(Required)

Title Preferred Name Surname

Emergency Contact Number for the day of the event(Required)

Car?(Required)

Yes

Dog/s?(Required)

Dog/s Name/s?(Required)

Additional walker 3

Full Name(Required)

Title Preferred Name Surname

Email(Required)

Enter Email Confirm Email Address

Emergency Contact Name(Required)

Title Preferred Name Surname

Emergency Contact Number for the day of the event(Required)

Car?(Required)

Yes

Dog/s?(Required)

Dog/s Name/s?(Required)

Additional walker 4

Full Name(Required)

Title Preferred Name Surname

Email(Required)

Enter Email Confirm Email Address

Emergency Contact Name(Required)

Title Preferred Name Surname

Emergency Contact Number for the day of the event(Required)

Car?(Required)

Yes

Dog/s?(Required)

Dog/s Name/s?(Required)

Additional walker 5

Full Name(Required)

Title Preferred Name Surname

Email(Required)

Enter Email Confirm Email Address

Emergency Contact Name(Required)

Title Preferred Name Surname

Emergency Contact Number for the day of the event(Required)

Car?(Required)

Yes

Dog/s?(Required)

Dog/s Name/s?(Required)

Additional walker 6

Full Name(Required)

Title Preferred Name Surname

Email(Required)

Enter Email Confirm Email Address

Emergency Contact Name(Required)

Title Preferred Name Surname

Emergency Contact Number for the day of the event(Required)

Car?(Required)

Yes

Dog/s?(Required)

Dog/s Name/s?(Required)

Additional walker 7

Full Name(Required)

Title Preferred Name Surname

Email(Required)

Enter Email Confirm Email Address

Emergency Contact Name(Required)

Title Preferred Name Surname

Emergency Contact Number for the day of the event(Required)

Car?(Required)

Yes

Dog/s?(Required)

Dog/s Name/s?(Required)

Additional walker 8

Full Name(Required)

Title Preferred Name Surname

Email(Required)

Enter Email Confirm Email Address

Emergency Contact Name(Required)

Title Preferred Name Surname

Emergency Contact Number for the day of the event(Required)

Car?(Required)

Yes

Dog/s?(Required)

Dog/s Name/s?(Required)

Additional walker 9

Full Name(Required)

Title Preferred Name Surname

Email(Required)

Enter Email Confirm Email Address

Emergency Contact Name(Required)

Title Preferred Name Surname

Emergency Contact Number for the day of the event(Required)

Car?(Required)

Yes

Dog/s?(Required)

Dog/s Name/s?(Required)

Additional walker 10

Full Name(Required)

Title Preferred Name Surname

Email(Required)

Enter Email Confirm Email Address

Emergency Contact Name(Required)

Title Preferred Name Surname

Emergency Contact Number for the day of the event(Required)

Car?(Required)

Yes

Dog/s?(Required)

Dog/s Name/s?(Required)

Additional walker 11

Full Name(Required)

Title Preferred Name Surname

Email(Required)

Enter Email Confirm Email Address

Emergency Contact Name(Required)

Title Preferred Name Surname

Emergency Contact Number for the day of the event(Required)

Car?(Required)

Yes

Dog/s?(Required)

Dog/s Name/s?(Required)

Additional walker 12

Full Name(Required)

Title Preferred Name Surname

Email(Required)

Enter Email Confirm Email Address

Emergency Contact Name(Required)

Title Preferred Name Surname

Emergency Contact Number for the day of the event(Required)

Car?(Required)

Yes

Dog/s?(Required)

Dog/s Name/s?(Required)

Additional walker 13

Full Name(Required)

Title Preferred Name Surname

Email(Required)

Enter Email Confirm Email Address

Emergency Contact Name(Required)

Title Preferred Name Surname

Emergency Contact Number for the day of the event(Required)

Car?(Required)

Yes

Dog/s?(Required)

Dog/s Name/s?(Required)

Additional walker 14

Full Name(Required)

Title Preferred Name Surname

Email(Required)

Enter Email Confirm Email Address

Emergency Contact Name(Required)

Title Preferred Name Surname

Emergency Contact Number for the day of the event(Required)

Car?(Required)

Yes

Dog/s?(Required)

Dog/s Name/s?(Required)

Additional walker 15

Full Name(Required)

Title Preferred Name Surname

Email(Required)

Enter Email Confirm Email Address

Emergency Contact Name(Required)

Title Preferred Name Surname

Emergency Contact Number for the day of the event(Required)

Car?(Required)

Yes

Dog/s?(Required)

Dog/s Name/s?(Required)

Additional walker 16

Full Name(Required)

Title Preferred Name Surname

Email(Required)

Enter Email Confirm Email Address

Emergency Contact Name(Required)

Title Preferred Name Surname

Emergency Contact Number for the day of the event(Required)

Car?(Required)

Yes

Dog/s?(Required)

Dog/s Name/s?(Required)

Additional walker 17

Full Name(Required)

Title Preferred Name Surname

Email(Required)

Enter Email Confirm Email Address

Emergency Contact Name(Required)

Title Preferred Name Surname

Emergency Contact Number for the day of the event(Required)

Car?(Required)

Yes

Dog/s?(Required)

Dog/s Name/s?(Required)

Dog/s Names?(Required)

Additional walker 18

Full Name(Required)

Title Preferred Name Surname

Email(Required)

Enter Email Confirm Email Address

Emergency Contact Name(Required)

Title Preferred Name Surname

Emergency Contact Number for the day of the event(Required)

Car?(Required)

Yes

Dog/s?(Required)

Dog/s Name/s?(Required)

Additional walker 19

Full Name(Required)

Title Preferred Name Surname

Email(Required)

Enter Email Confirm Email Address

Emergency Contact Name(Required)

Title Preferred Name Surname

Emergency Contact Number for the day of the event(Required)

Car?(Required)

Yes

Dog/s?(Required)

Dog/s Name/s?(Required)

Hidden

How many in the group

Hidden

How many cars?

Hidden

How many dogs?

Group Summary

Group Leader

Group Name

Company / Location

Walkers in the group

Walkers under 16

Cars

Dogs

Reason for fundraising

n/a

To make any additions or corrections go back to Group Details.

My declaration

My Declaration(Required)

Finally, by submitting my application, I confirm that:

I am taking part in this event at my own risk and take full responsibility to ensure that I and the people in my group are physically well enough to complete the event.

Photographs taken on the day can be used on social media and in PR and marketing activities in support of Wag & Company and Walk for Wag.

We will not hold the organisers, employees, staff or voluntary workers of Northumbrian Water Group or Wag & Company North East Friendship Dogs responsible for any injury, loss or harm resulting from our taking part in Walk for Wag at Derwent. I have taken responsibility for fully communicating this commitment to all the other members of my group.

Wag & Company will use the information I have provided to communicate with us about the event and will hold it in accordance with Wag & Company’s privacy policy. We promise to keep your details safe, and our privacy policy explains how we do this. If you decide you don’t want to hear from us just email walk@wagandcompany.co.uk or call us on 01434 611801.

I agree.

Phone

This field is for validation purposes and should be left unchanged.

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Legacies and in memory

Friends of Wag

Corporate support

Fundraise for Wag

Ending loneliness for older dog lovers

Registering to Walk for Wag

Whether you’re taking part as an individual or as part of a group...

Contact and general information...

You're ready to get started!

Registration form

Your details

Group details

Additional walker details

Additional walker 1

Additional walker 2

Additional walker 3

Additional walker 4

Additional walker 5

Additional walker 6

Additional walker 7

Additional walker 8

Additional walker 9

Additional walker 10

Additional walker 11

Additional walker 12

Additional walker 13

Additional walker 14

Additional walker 15

Additional walker 16

Additional walker 17

Additional walker 18

Additional walker 19

Group Summary

My declaration

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