7 day Challenge application form

Step 1 of 2

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  • lease note there are 2 sections to this form. Please ensure both are completed.
  • Section 1: Participant details

  • Name * Required
  • Emergency Contact Details (during the time of the event)

  • Eye Condition

  • Are you partially sighted?
  • Are you totally blind?
  • Do you wear glasses?
  • Contact lenses?
  • Do you use a cane?
  • Do you use a guide dog?
  • (e.g. braille, text, CD, large print etc)
  • (e.g. getting around, steps, poor light conditions)