The JLF Trek VIC 2019
Registration

Contact Details

In the case of an emergency
Do you have any medical conditions?
Do you have any special dietary requirements or food allergies?

Event Options

When will you participate?

Set up your Fundraising Page

Upload an image for your profile picture on your fundraising page. Ideally this should be square and a maximum of 2MB

Your individual fundraising goal is displayed below or you can set your own!

$

You will be given the option to start or join a team after you complete this registration form.

Kick start your fundraising

(Donations are tax-deductable)
  • $500
  • $200
  • $100
  • $50
  • $25

Or give a different amount:

$

Take the test

The most convenient way to prevent bowel cancer is to take an at-home screening test. It's simple and quick! Screening is recommended from age 50 or earlier if your risk is elevated. Would you like to purchase a test for $35?

Payment Details

$275.00
$22.00
$297.00
 

Visa | MasterCard

I commit to fundraising for the Jodi Lee Foundation