Join Us In Canberra | MS Walk Run + Roll

PERSONAL DETAILS

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First Name *

Last Name *

Email Address *

Password*

Mobile *

Date of birth *

Gender *

MAILING ADDRESS

YOUR OFFICIAL EVENT ENTRY PACK WILL BE SENT TO THIS ADDRESS

(enter address manually)

State *

Country *

EVENT DAY EMERGENCY CONTACT

EVENT DAY
EMERGENCY CONTACT

First Name *

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Contact Number *

Relationship to you

FUNDRAISING GOAL

RAISE OVER $75 AND START EARNING SOME AWESOME REWARDS!

MINIMUM FUNDRAISING TARGET IS $250

Fundraising Target *

$

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CHOOSE YOUR EVENT

HOW FAR WILL YOU WALK, RUN OR ROLL TO FIGHT MS?

RELATIONSHIP TO MS *

REASON FOR REGISTERING *

TERMS AND CONDITIONS

I AGREE TO THE MS EVENT TERMS AND CONDITIONS AND COVID SAFE POLICY

BY SHARING YOUR INFORMATION, YOU AGREE TO RECEIVE COMMUNICATIONS FROM US. WE WILL KEEP YOUR DATA SAFE IN ACCORDANCE WITH OUR PRIVACY POLICY.

I AGREE TO TRY AND RAISE FUNDS TO SUPPORT PEOPLE LIVING WITH MS *

I DO NOT WANT TO RECEIVE AN MS FUNDRAISING REWARD IF I RAISE OVER $75

CANBERRA

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PERSONAL DETAILS

MAILING ADDRESS

EVENT DAY EMERGENCY CONTACT

EVENT DAY
EMERGENCY CONTACT

FUNDRAISING GOAL

ADD A PROFILE IMAGE

CHOOSE YOUR EVENT

TERMS AND CONDITIONS

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CANBERRA

Create Account

Already have an Account

Already have an Account with us?

PERSONAL DETAILS

MAILING ADDRESS

EVENT DAY EMERGENCY CONTACT

EVENT DAYEMERGENCY CONTACT

FUNDRAISING GOAL

ADD A PROFILE IMAGE

CHOOSE YOUR EVENT

TERMS AND CONDITIONS

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EVENT DAY
EMERGENCY CONTACT