• Walk4Duchenne 2026 Registration

    Please complete all required fields. Information provided will be kept confidential and used solely for event organization and participant safety.
    • 1) PERSONAL INFORMATION 

    • * Please provide full name as it would appear on your driver’s license or passport.

    • Date of Birth*
       - -
    • Format: (+61) 000 000 000.
    • I am participating as:*
    • Are you a Chemist Warehouse employee?*
    • 2) EMERGENCY CONTACT 
    • Format: (+61) 000 000 000.
    • 3) TRAVEL & ACCOMMODATION 

    • *We provide and book all flights in economy class only, however participants are welcome to book their own flights if they wish to fly in a different class (this will be at the participants own expense).

    • Do you require return flights to Perth?*

    • *Save Our Sons provides paid twin share accommodation including breakfast daily, you may nominate a fellow walker, friend or partner that you wish to share with, if known.

    • 4) SHIRTS & SHORTS SIZE ORDER 

    • * Ladies may select larger men’s sizes if preferred, sizes run true, we recommend ordering a size up from your normal size if you want a less fitted shirt. Limited spare sizes will be available on site.

    • 5) HEALTH & DIETARY INFORMATION 
    • Are you qualified in first aid, or have sound knowledge of first aid and/or resuscitation?*
    • 6) FUNDRAISING PROFILE (Full Time Walkers Only) 
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    • WAIVER & AGREEMENT 
    • Should be Empty: