About You -------------------------------------------------------------------------
Your Name (required)
Your Email (required)
Your Phone (required)
Gender (required) MaleFemale
Date of Birth (required)
Home Address ----------------------------------------------------------------------
Street Address (required)
Street Address 2: (optional)
City/Town/Suburb (required)
Post Code (required)
State (required)
Your Bike -------------------------------------------------------------------------
Bike Brand (required)
Bike Model (required)
Bike Rego (required)
Other Info -----------------------------------------------------------------------
Do you have 1st Aid Qualifications? YesNo
label Can you assist with any of the following prior to the ride (please check any/all that apply) Media LiaisonCommunity EngagementPubic Speaking about Soldier OnRoute Planning & Traffic ManagementFundraising LiaisonFirst Aid OfficerMental Health OfficerTail End CharlieAdministration / Office tasksOther
Your Message to organisers
Yes, I have read the EOI waiver. Please register my EOI
