CHALLENGE REGISTRATION FORM

ROYAL PERTH HOSPITAL RESEARCH FOUNDATION'S HIKE FOR A CAUSE

PARTICIPANT REGISTRATION: 13-15 MAY 2021
PARTICIPANT DETAILS
Your full name*
Age
Email*
Address (mandatory for COVID-19 contact tracing)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mobile phone number (mandatory for COVID-19 contact tracing)*
If you are booking on behalf of a partner, please advise your partner's name and mobile
YOUR TICKETS
SELECT YOUR TICKETS*

$1795 (1 x ticket)$3590 (2 x tickets)
YOUR ACCOMMODATION
All rooms are twin share, with single guests paired with a fellow walker of the same gender in a Twin Room. Guests are accommodated in 2 and 3 bedroom ocean-view villas with up to 4 walkers per villa.
Please let us know if you have a preferred participant to share a room with. [If travelling as a couple, you will automatically be paired together]
Please insert full name of preferred room mate.
OPTIONS AND REQUIREMENTS

Tell us more so we can help you have a great experience.
Will you be joining the event transfer service from Perth to event location? [Perth pick up location TBC]*

YesNo, I will make my own way there
Will you be joining the event transfer service from the event location back to Perth? [Perth drop off location TBC]*

YesNo, I will make my own way back
Do you have any medical conditions that may impact your ability to safely complete the challenge in full*
Please specify
Do you have any dietary requirements (allergies) we should be aware of?*
Please specify
Please provide any other relevant details, requirements or comments

BOOKING TERMS AND CONDITIONS
Payment terms are as follows: 25% Deposit with Balance Payment due 60 days prior to the event start date.
View Full Booking Terms and Cancellation Policy here
To proceed with your registration, please ensure you have read and understood our Participant booking terms and conditions*

I confirm I have read and agree to the Participant booking terms and conditions

PAYMENT

Please enter your card details below for processing through our secure third party payment gateway, EWay - note full payment is due as we are 2 months out from the event. Please be aware that a 1.8% merchant services fee has been added for all payments by card. Or you may transfer payment to our account - see option 2 below.

PAY BY CREDIT CARD

OPTION 1: PAY IN FULL NOW: 3 day/2 night Hike for a Cause$1,827.31AUD

No. Tickets
Item subtotal:$0.00AUD

Total $0.00AUD

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

PAY BY ELECTRONIC TRANSFER

OPTION 2. Pay full ticket price now by electronic transfer. You will receive our bank account details within 1 business day.
Once you submit this form, you will receive confirmation of your purchase and additional information to help you prepare for your event. If you have any questions, please contact info@walkintoluxury.com.au
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ROYAL PERTH HOSPITAL RESEARCH FOUNDATION'S HIKE FOR A CAUSE

PARTICIPANT DETAILS

YOUR TICKETS

YOUR ACCOMMODATION

OPTIONS AND REQUIREMENTS

BOOKING TERMS AND CONDITIONS

PAYMENT