The Big Spin : Register

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Personal Details

First Name *

Last Name *

Email Address *

Password*

Mobile *

Date of birth *

Gender

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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:

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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. *

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Personal Details

Postal Address *

Emergency Contact Details

Your Motivation

Terms & Conditions

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