Stars Appeal Pedal for the Stars - Salisbury to Paris 2025 : 20/09/2025 - 24/09/2025

Step 1 of 5: Personal Details » Medical Details » Extras » Summary » Payment

Personal Details

Please can you tick the box if you have been on a trip with us before

Title:

First Name *:

As it appears in your passport

Last name *:

As it appears in your passport

Gender *:

Shared accommodation is standard. We may contact you privately to discuss your room share options. Please use the Room Share Request field in the portal if required.

Gender description:

Date of birth *:

dd/mm/yyyy (under 18?)

Postcode *:

Address Line 1 *:

Address Line 2:

Address Line 3:

Town/City *:

County:

Country *:

State:

Mobile Phone *:

Home Phone:

Work Phone:

E-mail Address *:

Please re-type E-mail Address *:

Team name:

If you are participating in the challenge as part of a team please enter the team name here

Data Protection

Stars Appeal will not pass on your details to any other organisation apart from Discover Adventure Ltd who will only use them for purposes of administering this event in accordance with their Privacy Policy. By submitting this form you agree to Stars Appeal or Discover Adventure contacting you about this challenge.

Stars Appeal would like to keep you informed about the charity; particularly about their services and other ways you can help, including opportunities to donate, volunteer or fundraise. If you would like to receive further information about us, please indicate below how you would prefer to be contacted:

Phone

Text

Post

Where did you hear about this Challenge? *:

Please give more detail where possible:

Why have you chosen to fundraise for the Stars Appeal? *:

For everyone's safety, ALL trekkers must complete a medical form (sent by email) before joining this trek. Please briefly note any concerns about your physical or mental fitness. We will put you in touch with a Discover Adventure doctor if appropriate. *:

Please confirm you understand that by signing up: 1. You pledge to raise at least the minimum specified for the Stars Appeal. 2. You agree to pay your own trip costs by the date specified (incl. non-returnable registration fee plus visa if required, insurance, kit and other costs). *:

By clicking Next you agree to Discover Adventure Ltd contacting you about this challenge.