Fundraising Total

$52,154

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Register

Registrations Close - May 24 2018 at Midday

Fees and Funds Click to view the Registration Fees & Fundraising Pledges applicable to you.

* denotes required field
 
Enter your unique username (e.g. BlisterBob)
Username *
Note: A password will be e-mailed to you once you complete this form.


Enter Your Personal Information
First Name *
Last Name *

Email *
Email (rpt)*

Date of Birth *
Mobile Phone *
Address 1 *
Suburb *
State *
Postcode *
Country *


Select Existing Team or Create a New Team
Select Your Team *
Create New Team *
  If you are creating a new team you will be nominated as the team captain (this can be altered later). Alternatively, select an existing team. Team names cannot include the following characters ()"'$@!?. Any offensive name or acronym will be removed.


Pledge Target & Walk Type
Pledge target $ *
 
Adult Over 18 $200
Students 12-18 years $50
Kids 6-11 $20
Toddlers Younger than 6 Nil

By entering the event you are agreeing to a minimum fundraising pledge. If you would like to inform us and your supporters that you are setting a higher target, then enter that target here (you are not accountable to the amount you enter). You have until June 39, 2018 to deposit these funds.


Walk Type *
  If you are entering the Family or Relay walk get in touch with us if you have any questions about the make-up of your team.


How Did You Hear About Us?
Who Told You? *
  Please tell us how you heard about the event.


Get connected to HopeBuilders International?
Connect with HBI? *
  If you answer 'Yes' you will be included you on a mailing list - you can opt out at any time.


Agreement
I agree *

I have read and accepted the Terms and Conditions



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