First, let's create your account!

First Name *

Last Name *

Email Address *

Password*

Mobile *

Gender

Shirt Size *

State *

Country *

Additional Questions

Traditional place name (if known)

Do you wish to receive the $50 fundraising pack when you've unlocked it? (includes a singlet/t-shirt, drink bottle and iron-on patch) *

T-shirt or singlet

T-shirt
Singlet

Are you 18 or over? *

I agree to the Stride4Stroke Privacy Policy and Terms and Conditions *