The Big Spin : Register

Details
Your Page
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Self-donation

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Personal Details

First Name *

Last Name *

Email Address *

Password*

Mobile *

Date of birth *

Gender

Male Female Other

Workplace/Organisation Name

Postal Address *

We'll have rewards and prizes available throughout the challenge. Please provide your address so we can send these to you if required:

(enter manually)

UnitStreet Number *

Street *

Town/Suburb *

Postcode *

State *

Country *

Emergency Contact Details

Please provide us with an emergency contact

First Name *

Last Name *

Contact Number *

Relationship to you

Your Motivation

Why are you taking on The Big Spin? *

What's your level of spin bike experience? *

Terms & Conditions

I acknowledge that The Big Spin is a fundraising event and I will try to raise a minimum of $480 to sponsor 3 nights of accommodation at Ronald McDonald House for a sick child and their family. *

I agree to the terms and conditions and confirm that I am medically and physically fit and able to participate in the Event. *

Your Team

Photon Energy Group

Please confirm that this is the name of the team you’ve been invited to join. You can find your team name in your invite email if you’re unsure. *

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