MTN Walk the Talk with 702 – Entry

Make a difference, ENTER Today and join the IMAGINE team for the 2019 MTN Walk the Talk with 702.

A portion of your entry fee will benefit not one but two charities and will make such a difference.

First Name (required)

Surname (required)

Nickname (required)

Your Email (required)

Cell Number (required)

Walk Distance (required) [R100 of your entry fee will be donated to IMAGINE Charity]

Type of Identification (required)

ID Number (required)

Gender (required)

Emergency Contact Name (required)

Emergency Contact Number (required)

T-Shirt Size (required)

Are you bringing your dog(s) (required)

Please enter your dog name(s): (one per line) (required)

Please enter your dog breed(s): (one per line) (required)

Please enter your dog size(s): (one per line) (required)

Please enter your dog(s) age in years: (one per line) (required)

Where did you get your dog(s): (one per line) (required)

Do you require Park and Ride? (required)

Where do you require Park and Ride from? (required)