Running As One Form

1
Are you a current or former emergency services member?* This field is required.
YESNO
2
Your Name* This field is required.
First Name
Last Name
3
Email* This field is required.
example@example.com
4
Mobile Phone Number* This field is required.
Please enter a valid phone number.
5
Will you be running, riding, volunteering or attending the Charity Night?* This field is required.
Running
Riding
Volunteering
Charity Night
6
Which days are you joining?* This field is required.
Day 1: Monday, 7 April – Yarrawonga to Cobram (40km)
Day 2: Tuesday, 8 April – Cobram to Numurkah (40km)
Day 3: Wednesday, 9 April – Numurkah to Tatura (76km)
Day 4: Thursday, 10 April – Tatura to Murchison (22km)
Day 5: Friday, 11 April – Murchison to Euroa (40km)
Day 6: Saturday, 12 April – Euroa to Mooroopna (58km)
Day 7: Sunday, 13 April – Mooroopna to Shepparton (5km, Community Walk)
7
Select T-Shirt Size
Please Select
Please Select
No Shirt
XS
S
M
L
XL
XXL
XXXL
8
Register, donate, or both!
prevnext( X )
My Bag
0
My Bag
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
ORDER SUMMARY
Total costAUD
Emergency Services Members (Past or Present) - Days 1-7
Add this option and then select the number of days attending.
$40.00AUDEdit
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1 Day
1 Day
2 Days
3 Days
4 Days
5 Days
6 Days
7 Days
Community Walk - Sunday 13 April
For the wider community joining the Community Walk from Mooroopna to Shepparton on Sunday 13 April 2025.
$10.00AUDEdit
Back
Souvenir Running Tee
$40.00AUDEdit
Back
XS
XS
S
M
L
XL
XXL
XXXL
Size
Mens
Mens
Womens
Cut
Additional donation to Code 9 Foundation
$FreeAUDEdit
Back
$10
$10
$20
$50
$100
Volunteering - Days 1-7
$FreeAUDEdit
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Total cost $0.00AUD
First Name
Last Name
9
Waiver and Terms and Conditions for Running As One Event* This field is required.
Should be Empty: