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Joining Team Melissa Jane
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Choose your challenge length
50
kms
100
kms
150
kms
Or Choose Your Own Distance
kms
Personal Details
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First Name *
Last Name *
Email Address *
Password*
Mobile *
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Are you over 18? *
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Parent / Guardian First Name *
Parent / Guardian Last Name *
Parent / Guardian Email Address *
Parent / Guardian Phone *
Your Motivation
Why are you walking to help kids facing cancer? *
I know someone with cancer
I am walking in memory of someone
I am a cancer survivor
I am personally facing cancer
I have no connection but I want to help kids with cancer
Who are you walking for? *
- choose option -
mum
dad
wife
husband
daughter
son
sister
brother
aunty
uncle
grandmother
grandfather
cousin
friend
colleague
myself
loved one
What is their name? This will be displayed on your page.
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Next Step
