MS Mega Challenge : Register

ADULT ENTRY
AGES: 18+

SWITCH TO JUNIOR ENTRY

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PERSONAL DETAILS

First Name *

Last Name *

Email Address *

Password*

Mobile *

Date of birth *

Gender *

MAILING ADDRESS

Your Entry Pack and any Fundraising Rewards you earn will be sent to this address.

(enter address manually)

State *

Country *

EVENT DAY EMERGENCY CONTACT

First Name *

Last Name *

Contact Number *

Relationship to you

FUNDRAISING GOAL

Raise $75 or more to earn some awesome rewards!

MINIMUM FUNDRAISING TARGET IS $250

Fundraising Target *

CREATE OR JOIN A TEAM

If you don’t have a team, or your Team Captain has not signed up and created your team, select ON MY OWN. We can find you a team, or you can join your team, after registering.

No Thanks Join Create

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?

Yes No

Relationship to MS *

Reason for Registering *

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

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

By sharing your information, you agree to receive communications from us. We will keep your data safe in accordance with our Privacy Policy.

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