MS Walk : Register

1. ACCOUNT
2. FUNDRAISING PAGE
3 . TEAM
4. INVITE
5. MERCHANDISE
6. PAYMENT

ADULT ENTRY

SWITCH TO JUNIOR ENTRY

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PERSONAL DETAILS

First Name *

Last Name *

Email Address *

Password *

Mobile *

Date of birth *

Gender *

Male Female Other

MAILING ADDRESS

We need your address to send you your Entry Pack and any rewards you earn.

(enter address manually)

State *

Country *

EVENT DAY EMERGENCY CONTACT

First Name *

Last Name *

Contact Number *

Relationship to you

MEDICAL CONDITION(S)

Do you have any pre-existing medical conditions which might affect your ability to take part, or be relevant if treatment is needed?

Please provide details

EVENT DISTANCE

HAVE YOU PREVIOUSLY PARTICIPATED IN THIS EVENT? *

REASON FOR REGISTERING *

CONNECTION TO MS *

TERMS AND CONDITIONS *

I agree to MS Event Terms and Conditions and COVID Safe Policy

FUNDRAISING PLEDGE *

I agree to try and raise funds to support people living with MS

ADDRESS TYPE *

ACT

JOIN US IN 2021

ADULT ENTRY

Create Account

Already have an Account

Already have an Account with us?

PERSONAL DETAILS

MAILING ADDRESS

EVENT DAY EMERGENCY CONTACT

MEDICAL CONDITION(S)

EVENT DISTANCE

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