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To secure your place in the SA Hiking Challenge, please complete this form and return it to us as soon as possible, together with your payment of the $350 registration fee. Remember, numbers are limited to approximately 40 people. The registration fee helps to cover the cost of the event – emergency support services, risk management plans, first aid and the like. We will also provide you with a Jodi Lee Foundation running top and your own little black tutu. We promise you a truly unique (and challenging) experience. What else do you need to organise? - Your own travel arrangements to and from Wilpena Pound - Accommodation (contact Wilpena Pound on 08 8648 0004) - Dinner on the first night Thursday 8 May and breakfast on Sunday 11 May. While we make all provision possible to ensure your safety, you are responsible for your own health and wellbeing in the lead up to and during the event. Please make sure you have relevant health insurance and ambulance cover. Fundraising As with all of our events, there is a fundraising element to the SA Hiking Challenge. Our target is for the event to raise $100,000 to help us continue to raise awareness of bowel cancer and the importance of screening for early detection of the disease. To assist you, we will set up a dedicated fundraising page for you on our website. All you need to do is provide us with a photo and a few short sentences about why you have joined the Challenge. Be creative with your fundraising and have some fun. We are here to help you as much as we can. REGISTRATION DETAILS - Please return this slip with your payment Name: ____________________________________________________ Address: _____________________________________________________________________________ Email: ___________________________________________ Mobile: ________________________ Payment can be made by cheque or credit card: Cheque: Payable to The Jodi Lee Foundation c/- PO Box 1216, Kensington Gardens, SA, 5068 VISA / MASTERCARD: Either call Elissa O’Donohue on 0407 599 809 or fill in the details below and email the form to [email protected] . Name on card: ______________________________________________ Card Number: ______________________________________________ Expiry: ________________________ SA HIKING CHALLENGE REGISTRATION FORM - 2014 SA HIKING CHALLENGE 23 & 24 MAY

2014 SA Hiking Challenge Registration Form

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The SA Hiking Challenge is a two day event through South Australia's stunning Flinders Ranges, taking place on 23th and 24th May 2014. Last year's winner set a cracking record of 42.5 kms in just 6 hours, and that's over the ABC Mountain Range!

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Page 1: 2014 SA Hiking Challenge Registration Form

To secure your place in the SA Hiking Challenge, please complete this form and return it to us as soon as possible, together with your payment of the $350 registration fee. Remember, numbers are limited to approximately 40 people.

The registration fee helps to cover the cost of the event – emergency support services, risk management plans, first aid and the like. We will also provide you with a Jodi Lee Foundation running top and your own little black tutu.

We promise you a truly unique (and challenging) experience.

What else do you need to organise?- Your own travel arrangements to and from Wilpena Pound - Accommodation (contact Wilpena Pound on 08 8648 0004)

- Dinner on the first night Thursday 8 May and breakfast on Sunday 11 May.

While we make all provision possible to ensure your safety, you are responsible for your own health and wellbeing in the lead up to and during the event. Please make sure you have relevant health insurance and ambulance cover.

Fundraising As with all of our events, there is a fundraising element to the SA Hiking Challenge. Our target is for the event to raise $100,000 to help us continue to raise awareness of bowel cancer and the importance of screening for early detection of the disease.

To assist you, we will set up a dedicated fundraising page for you on our website. All you need to do is provide us with a photo and a few short sentences about why you have joined the Challenge. Be creative with your fundraising and have some fun. We are here to help you as much as we can.

REGISTRATION DETAILS - Please return this slip with your payment

Name: ____________________________________________________

Address: _____________________________________________________________________________ Email: ___________________________________________ Mobile: ________________________

Payment can be made by cheque or credit card:Cheque: Payable to The Jodi Lee Foundation c/- PO Box 1216, Kensington Gardens, SA, 5068VISA / MASTERCARD: Either call Elissa O’Donohue on 0407 599 809 or fill in the details below and email the

form [email protected].

Name on card: ______________________________________________

Card Number: ______________________________________________ Expiry: ________________________

SA HIKING CHALLENGEREGISTRATION FORM - 2014

SA H

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MAY