Walk4Duchenne 2026 Registration

Walk4Duchenne 2026 Registration

Please complete all required fields. Information provided will be kept confidential and used solely for event organization and participant safety.
- Title
- First Name
- Last Name
- * Please provide full name as it would appear on your driver’s license or passport.
- Date of Birth
  
  DayMonthYear
  2 digit day, 2 digit month, 4 digit yearDate
- Mobile Number
  Please enter a valid phone number.Format: (+61) 000 000 000.
- Email Address
  example@example.com
- Company Name (if applicable)
- I am participating as:
- Are you a Chemist Warehouse employee?
- In which state?
- Emergency Contact - Full Name
- Relationship
- Mobile Number
  Please enter a valid phone number.Format: (+61) 000 000 000.
- Email Address
  example@example.com
- *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?
- Velocity Frequent Flyer Membership Number
- Qantas Frequent Flyer Membership Number
- Departing City Name
- *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.
- Name of person you wish to share with (leave blank if unknown)
- Men's Shirt Size
- Men's Shorts Size
- Women's Shirt Size
- Women's Shorts Size
- * 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.
- Do you have any medical conditions which may affect you during the walk? (leave blank if no)
  *This information shall remain confidential and is solely required for the purpose of preparing for the safety & wellbeing of all participants.
- Do you have any dietary requirements or specific food allergies? Please outline them here (leave blank if no)
- Are you qualified in first aid, or have sound knowledge of first aid and/or resuscitation?
- Please provide details of your first aid experience and qualifications
- Profile Image
  
  Accepted file formats: JPG, JPEG, PNG - Maximum file size: 5MB
  Cancelof
- To participate in the 2026 Walk4Duchenne we require all entrants to accept the terms and conditions as set out in the linked 2-page document. Please read these terms and conditions before accepting. Should you have any questions or concerns regarding the indemnity waiver or the general terms and conditions, please contact us at events@saveoursons.org.au
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