Heart Foundation's MyMarathon : Register

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Joining Team Lakeview Cardiology

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Personal Details

First Name *

Last Name *

Email Address *

Password*

Mobile *

Date of birth *

Shirt Size *

Postal Address

When you raise $125 on your fundraising page to support heart disease research, we'll send you a FREE MyMarathon T-shirt. Please provide an address so we can send this to you.

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Your Motivation

Why are you taking on this challenge to help save Kiwi hearts? *

What best describes your current level of physical activity? *

How will you take part in MyMarathon *

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Joining Team Lakeview Cardiology

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Personal Details

Postal Address

Your Motivation

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