Derbyshire Carers Association -

Group Name(Required)

Group Description(Required)

Group District/Region(Required)

Group Start Location (postcode)(Required)

What3Words Start Location (optional)

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Lat

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Lng

Group Facilities / Accessibility

Group Occurrence(Required)

Every

Every Other

First

Fourth

Last

Second

Third

Group Day of the Week(Required)

Group Day of the Week #2

Group Day of the Week #3

Typical Length of Walk (miles)(Required)

Typical Time of Walk (Hours and Mins)(Required)

If less than 1hr, enter “XX mins”. If over an hour, enter “X hours, XX minutes”.

Group Start Time (24hr)(Required)

Cost per session(Required)

Attach an image or leaﬂet (optional)

Accepted file types: jpg, jpeg, png, pdf, Max. file size: 500 MB.

Link to External Site (optional)

Group Email Address

Group Telephone Number

Comments

This field is for validation purposes and should be left unchanged.

Derbyshire Carers Association