Get Walking
                                                             

 

 
Community Online Registration Form 
  
  
Event name:       
Community group/workplace          
Title  
First name:  
Last name:  
Phone 1: 
Phone 2: 
Postal address: 
Suburb: 
State: 
Postcode: 
Email address:  
Event description: (max. 50 words) 
Walk commencing from:   
Starting date of event:  
Concluding date of event:
Please indicate the days your event will be held (e.g. daily, weekdays, Mondays, etc)
Time commencing:  
Time concluding:  
Anticipated number of participants:  
Is the event open to the public?  Yes
  No
 
Will you invite media to attend?  Yes
  No
 
Would you like more information on Heart Foundation Walking? Yes
  No
  
Your t-shirt size:                                                                                                                     
 

For help in filling out this form or for more information about Get Walking Tasmania, please contact Shannon Anis on (03) 6336 5119 or email shannon.anis@heartfoundation.org.au. You will receive email confirmation of your registration within one week of registering.