RMHC WA : Register

1. Your Details
Optional Merchandise
2. Fundraising Page
3. Registration Payment

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Personal Details

First Name *

Last Name *

Email Address *

Password*

Mobile *

Date of birth *

Gender *

Male Female Other

Dietary Requirements

Marketing Optin: I would like to receive communication and ongoing marketing material from RMHC WA.

Yes No

Postal Address *

(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

Organisation Details

Organisation Name

Your Position

Medical Conditions

Do you have any pre-existing medical conditions which might affect your ability to take part, or be relevant if treatment is needed?

Yes No

Event Specific Details

What is the make/model of your road bike? *

Choose your Jersey and Bib Size - we'll provide you with a kit

Check the size guide.

Jersey Size *

Bib Size? *

How did you hear about the Ride for Sick Kids? *

Have you had any experience with or connections to the House? *

What motivates you to Ride for Sick Kids this year? *

How would you rate your cycling ability? *

If you selected other, please leave details

What is your Strava username?

If you would like to share a room with a specific rider, please list their name(s) below:

I have read and agreed to the event Terms & Conditions, which includes the event waiver

I commit to raising a minimum of $3,000 for Ronald McDonald House Charities WA in order to participate in the RMHC Ride for Sick Kids WA 2023.

By clicking NEXT STEP, I have read the privacy policy

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