Worthing Promenade Walk 2019   Sunday 18th August 

Starting time 10am  Goring Green near Sea Lane Cafe

5k or 10k

Please complete form below and transfer £10 per entrant to:

Worthing  Rotary  Club  40 - 47 - 23  account 01368729

Please quote name as reference for payment.

Full Address

Email Address

Next of kin name and contact details

Please detail any health problems of which we should be aware

After completing form please email it to worthingrotaryclub22@gmail.com

www.worthingrotary.org

Rotary Club of Worthing and Worthing Community Chest (WCC) accept no 

responsibility for reporting and allocation of funds raised through sponsorship

for third parties.

www.worthingrotary.org