Victoria & New South Wales (Epilepsy Foundation 2026)

Create Account
Create Your Page
Invite
Optional Donation

Joining Team The Shakiras

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 The Shakiras

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 The Shakiras

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