Register as a Walker

Saturday 2nd March, 2019 16 Walkers
Raised This Year $1,220.00
Raised Over 11 Years $672,000+

Note: To create a team you must first be registered as an individual walker and logged in.

Participants Details

Individual Type

First Name

Last Name

Email Address

Phone Number

Address

Suburb

State

Postcode

At the time of the event I will be over the age of 18

Fundraising Details

Fundraising Page Image

Fundraising Description

Fundraising Target ($)

Other Details

Kickoff Donation A great way to encourage your supporters to help you raise funds is to kick off your fundraising with a small personal donation. Simply click on one of the amounts or enter your own amount and it will be added to your rego.

None

$10

$20

Other

Payment Details

Card Name

Card Number

Card Type

Expiry Date

CCV

Payment Due

Item	Qty	Price
Registration Fee	1	$40.00
Kickoff Donation		$0.00
Postage		$0.00
Amount Due		$40.00

Coupon

Disclaimer
The organisers and Camp Quality do not take any responsibility for any accident or injury, to participants, that may occur during the walk. The organisers and Camp Quality will not be liable in any way for claims of any type against them following the walk. The entrant takes full responsibility for their own safety and personal possessions and signs below in agreement of the above.

I have read and agree to the above terms and conditions.