Australian Capital Territory (Epilepsy ACT 2026)

Create Account
Create Your Page
Invite
Optional Donation

Joining Team Alesha's Team 💜

I'd rather just register as an individual

Personal Details

First Name *

Last Name *

Email Address *

Password*

Phone *

Date of birth *

Gender *

Are you happy to receive occasional emails from us about our services and fundraising?

Yes No

Postal Address *

(enter manually)

UnitStreet Number *

Street *

Town/Suburb *

Postcode *

State *

Country *

Additional Questions

Why are you taking part in the Walk for Epilepsy? *

How did you hear about the event?

Are you willing to share your story? *

Yes
No

Have you used our services? If so, which one(s)?

Please confirm what size you are for merchandise: *

Terms and Conditions

I agree to Walk for Epilepsy's terms and conditions. *

Register

Joining Team Alesha's Team 💜

Already have an Account with us?

Personal Details

Postal Address *

Additional Questions

Terms and Conditions

Walk for Epilepsy information or queries

To get epilepsy support from your local organisation

Links

Register

Joining Team Alesha's Team 💜

Create Account

Already have an Account

Already have an Account with us?

Personal Details

Postal Address *

Additional Questions

Terms and Conditions

Walk for Epilepsy information or queries

To get epilepsy support from your local organisation

Links