Walk for Womens Cancer : Register

1. Create Account
2. A little more about you
3. Your Page
4. Payment

Create Account
Already have an Account

Personal Details

First Name *

Last Name *

Email Address *

Password *

Mobile *

Date of birth *

Gender

Male Female Other

I would like to receive important event information from the Perkins

Yes No

Postal Address *

(enter address manually)

State *

Country *

I agree to the terms and conditions and understand that I agree to raise a minimum of $500*

I understand the Walk for Women's Cancer will be following all government requirements relating to the management of COVID-19. These requirements may change with very little notice.

I am fully vaccinated for COVID-19 or have a valid exemption and I agree to provide appropriate certification if required

Register

Create Account

Already have an Account

Already have an Account with us?

Personal Details

Postal Address *