Walk Registration Form
  General Enquiries: (03)97379475     Bookings: 0403 271 987, 0418 170 027
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Walking Registration Form
  1. REGISTRATION FOR KIDS OF GOLD SYDNEY TO MELBOURNE 2020 WALK I would like to be part of the Walk commencing Monday 6th January 2020.
  2. Are you 18 years old or over?(*)
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  3. Date of Birth(*)
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  4. First Name:(*)
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  5. Surname:(*)
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  6. Name Person Giving Permission:(*)
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  7. Signature of Person(*)
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  8. Phone Contact Number(*)
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  9. Contact Email:(*)
    Please specify your email address.
  10. Do you have a working with children check?(*)
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  11. Working With Childen Check Number(*)
  12. Do you plan to raise sponsors for your walk?(*)
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    Note: Walking without sponsors is permissible
  13. Sponsors can donate through the Donation Button on the Kids of Gold website ( kidsofgold.org.au) , or by direct transfers to this Account: Account Name: Kids of Gold BSB No: 633 000 Acc No: 129 551 552 Make sure they ID the transfer with: ‘2020 Walk’ They can also ID with name of the walker they are sponsoring if they wish.
  14. Select the days you think you’d be able to walk in January 2020:(*)







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  15. ( If you want to start it and ‘see how you go’ without committing to actual days, just select Mon 6th Jan) Queries : Ring: 03 9737 9475 or 0415 427 396

Kids of Gold

A.B.N 57 327 231 835
Registered Incorporated Association No. A0050015Z
 
Registered Address:
323 Monbulk Road
Silvan Victoria 3795

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