Your Cause : Register

Personal Details

Title *

First Name *

Last Name *

Alternate Display Name

Email Address *

Password*

Phone

Date of Birth

Gender

Male Female Other

Dietary Requirements

Postcode

State

Shirt Size

Yes No

Postal Address

(enter manually)

Address Line 1

Address Line 2

Suburb *

Postcode *

State *

Country

Emergency Contact Details

Please provide us with an emergency contact

First Name

Last Name

Contact Number

Relationship to you

Organisation Details

Organisation Name

Your Position

Fundraising Page

Customise your fundraising page using the options below.

Personal URL

Set your Fitness Goal

250

500

750 Own Amount

kms

Add a title and description to your Fundraising page

Join or Create an Organisation

No Thanks Join Create

Join or Create a Team

No Thanks Join Create

Medical Conditions

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

Yes No

Terms & Conditions

I agree to the above Terms & Conditions *

Participant Login

New Target Handles

Joining Team Team-01

Create Account

Already have an Account

Already have an Account with us?

Personal Details

Postal Address

Emergency Contact Details

Organisation Details

Fundraising Page

Set your Fitness Goal

250

500

750

Own Amount

Add a title and description to your Fundraising page

Join or Create an Organisation

Join or Create a Team

A PHP Error was encountered

Medical Conditions

Terms & Conditions

Get Involved

Fundraise

About