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Personal Details

First Name *

Last Name *

Email Address *

Password*

Mobile (optional)

Dog’s name(s) *

Postal Address *

This is so we can send you any goodies you earn!

(enter manually)

UnitStreet Number *

Street *

Town/Suburb *

Postcode *

Region

Country *

Set your Fundraising Goal *

How much will you raise for life-changing Rainbow support services?

$100

$250

$500

Set your own goal!

Set your Walkies Goal *

How far will you and your dog walk this October?

50km

That's approx 1.6km per day.

100km

That's approx 3km per day.

150km

That's approx 5km per day.

Choose your own!

kms

Terms & Consent *

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