Registration - Personal Details

Welcome to the registration page! At the end of this registration process, an individual fundraising page will be created in your name and be available for you to personalise, making it easier to fundraise, promote your fundraising and thank your sponsors.

Required fields are marked with an *

Personal Details

/ /

Emergency Contact Details

Postal Address

Contact Details

Account Details

This user name will be used to create your individual fundraising page.
Hint: Simply enter your first and last name
Team captains: Do not put your team name here.

Personal Donation

Kickstart your fundraising by sponsoring yourself. Your personal donation will be included on your fundraising web page.
$30 - Pays for a telephone consultation with a health care professional for up to date information about MS and MS management
$65 - Pays for a hand rail to be installed in a person\'s home to assist walking up and down stairs as MS can affect balance
$120 - Pays for a person with MS to participate in a Managing your Fatigue teleconference program to learn how to better manage their symptoms
$250 - Pays for an individually tailored exercise program to improve the balance, strength and mobility of a person with MS.
$500 - Pays for a professional Health & Lifestyle assessment for a person with MS and the development of an individual action plan to improve health, wellbeing & quality of life
other amount
* Please note all donations are tax deductible - an automatic receipt will be issued by email.

Your Fundraising Page

The below fields will appear on your fundraising page

Did you know?

* The average age of diagnosis of MS is just 20-40 years 

* MS affects three times as many women as men 

The Multiple Sclerosis Society of Western Australia (MSWA) aims to minimise the impact of multiple sclerosis on all individuals affected by the disease, as well as their families, carers and the community, by offering a wide range of services, equipment and support. MSWA's goal is to assist everyone affected by MS to live life to their fullest potential and secure the care and support they need, until we ultimately find a cure.
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