Mater Foundation : Register

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Joining Team Bennett+Bennett

I'd rather just register as an individual

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Personal Details

First Name *

Last Name *

Email Address *

Password *

Mobile *

Date of birth *

Gender *

Male Female Other

Postal Address*

Your rider kit will be sent to the address below.
NeoPro jerseys purchased or earned through fundraising will be shipped separately.
Selected fundraising rewards are collection only and will not be posted.

Important: Parcel lockers will not be accepted and may result in delayed delivery.

(enter address manually)

State *

Country *

Emergency Contact Details

Please provide us with an emergency contact

First Name *

Last Name *

Contact Number *

Relationship to you

Organisation details

If your postal address is a business, please let us know the business name below

Organisation Name

This event aims to raise money for cancer research. How do you feel about giving fundraising a go? *

Why are you taking part? *

Who are you taking part for? *

I am happy to share my story

Your Average Cycle Speed *

Terms and Conditions *

I have read and agree to the Participant Terms and Conditions. Must be over 18 years old to accept.

Participants aged 16–17 years old at the time of the event must have a parent or guardian submit a completed parental consent form to be eligible to take part. Please note that rider kits will not be mailed until the Mater Foundation team has received the completed parental consent form.

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