Lake District 8 Peak Challenge register interest Please complete the brief form below for the Lake District 8 Peak Challenge and we will contact you with more information Lake District 8 Peak Challenge 2018 Register of interest Personal details TitlePlease select... Mr Mrs Ms Miss First Name Last Name Phone Whichever is your preferred number Email Your meningitis experiencePlease select... Personal experience Family experience Friend/Neighbour experience Nursery experience Pupil/Student experience Employee experience Professional experience No experience Are you willing to share your story with the media and help us to raise awareness about meningitis, the work of Meningitis Now and your involvement?Please select... Yes No If yes and are happy to give some brief details, please write below How did you hear about this eventPlease select... Leaflet Facebook/Twitter Local press Search engine Meningitis Now website Email Previous participant Other Other - how I heard Why are you interested in this event?Please select... In memory In celebration Other Address Street address Town County Postcode Select the way(s) you would like us to contact you We would like to contact you by post, phone, SMS and email to update you about our work and activities. If you are happy to receive this information from us, please tick the relevant boxes:I have selected how I would like to be contacted Post Phone SMS Email No contact Need assistance with this form?