A Mile 4 Miles school challenge form

School name*
Type of school*
Name*
Title Firstname Lastname
Postcode*
ZIP / Postal Code
Address*
Street Address Address Line 2 City Country
How many children will be taking part? (approx.)*
What is your fundraising target?*
Proposed date for your challenge*
MM slash DD slash YYYY
We can come to your school and deliver an assembly, would you be interested?*
- Yes
- No
Are you a former patient of the charity or know someone who is?*
- Yes
- No
Please tell us about your connection with GNAAS*
Hidden
Is admin user
- Yes
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Name
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