Schools Online Registration Form 
  
Event name:  
School name: 
School type: 
Postal address (please note this cannot be a PO Box) 
Suburb 
State  
Postcode  
Title  
First name:  
Last name:  
Phone 1:  
Phone 2:  
Email address:  
Event description:  
Grades participating:  
Date of event:  
Please indicate the days your event will be held (e.g. daily, weekdays, each Monday, 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