Dementia UK : Register

Personal Details

T-shirt Size *

(Please note these are standard Dementia UK t-shirts not polo shirts/collared shirts).

First Name *

Last Name *

Email Address *

Password*

Phone Number

Are you over 18? *

Yes No

Connection to dementia

What is your motivation for taking part? *

Postal Address *

(enter manually)

Address Line 1 *

Address Line 2

Town/City *

Postcode *

County

Country *

Are you a member of a Golf Club? *

Yes No

Who are you taking part with? *

Please select the date of your event

If you're not sure, don't worry - just let us know as soon as you have a date sorted.

Join or Create a Team

No Thanks Join Create

Taking on this challenge together with friends, family, or colleagues is a great way to have more fun and raise more funds!

By creating a team, you will become the team leader. You can choose a team name, set a shared fundraising target, and decide how people join, either open to everyone or by invitation only.

Stay in touch?

Please let us know if you would like to hear from us about the huge difference you are making to families living with dementia and how you can support us in the future:

Email

Phone

SMS

Post

By registering for the challenge, you agree to Dementia UK Terms and Conditions. For information about how we use and protect your data please see our privacy policy. If at any time you would like to stop receiving communications from Dementia UK, or make any changes to how we contact you, please email supportercare@dementiauk.org or call us on 0300 365 5500.

The 36 Hole Challenge

Joining Team The Break 90’s

Create Account

Already have an Account

Already have an Account with us?

Personal Details

Connection to dementia

Postal Address *

Join or Create a Team

Stay in touch?

Get Involved

Fundraise

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