Register Payment processing.... Do not refresh this page Participant Details Payment Register for Wally Cairns Pancake Run & Relay Register a participant Distance 5km - Relay Date of birth Gender Male Female State Please Choose ACT NSW NT QLD SA TAS VIC WA Other Country Please Choose a Country Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antigua & Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire Bosnia & Herzegovina Botswana Brazil British Indian Ocean Ter Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Canary Islands Cape Verde Cayman Islands Central African Republic Chad Channel Islands Chile China Christmas Island Cocos Island Colombia Comoros Congo Cook Islands Costa Rica Cote D'Ivoire Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Ter Gabon Gambia Georgia Germany Ghana Gibraltar Great Britain Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guyana Haiti Hawaii Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea North Korea South Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malaysia Malawi Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Midway Islands Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Nambia Nauru Nepal Netherland Antilles Netherlands (Holland, Europe) Nevis New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Norway Oman Pakistan Palau Island Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Island Poland Portugal Puerto Rico Qatar Republic of Montenegro Republic of Serbia Reunion Romania Russia Rwanda St Barthelemy St Eustatius St Helena St Kitts-Nevis St Lucia St Maarten St Pierre & Miquelon St Vincent & Grenadines Saipan Samoa Samoa American San Marino Sao Tome & Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Tahiti Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad & Tobago Tunisia Turkey Turkmenistan Turks & Caicos Is Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States of America Uruguay Uzbekistan Vanuatu Vatican City State Venezuela Vietnam Virgin Islands (Brit) Virgin Islands (USA) Wake Island Wallis & Futana Is Yemen Zaire Zambia Zimbabwe Part of a relay team? (Must specify other team members) No Yes Which leg will you be running? (5km relay only) Register a member Family/team name (leave blank for individual registration) Date of birth Gender Male Female State Please Choose ACT NSW NT QLD SA TAS VIC WA Please nominate two preferred events to volunteer at. You will be required to fulfil at least one of your preferences. Quokka Dash - Goodlife Rottnest Running Festival - 16/06/2019 WAMC Annual Sundowner & Presentations - 03/02/2019 Mount Helena 40 Miler & Relay - 22/04/2019 John Forrest Cross Country - 10/02/2019 Point Walter Run - 24/02/2019 Distance Running Seminar - 03/03/2019 Darlington Half Marathon - 10/03/2019 Peninsula Run - 17/03/2019 Race Directors Training Seminar - WAMC Members - 24/03/2019 Race Directors Training Seminar - Non Members - 24/03/2019 Asics Bridges Fun Run - 07/04/2019 Joondalup Half Marathon - 14/04/2019 Perth 32km - 12/05/2019 Shelley Loop Run - 19/05/2019 Roller Coaster Run - 02/06/2019 Goodlife Health Clubs Rottnest Running Festival - 16/06/2019 King of the Mountain - 30/06/2019 Regis Aged Care Women's Classic - 14/07/2019 Lake Gwelup Run - 21/07/2019 Perth Half Marathon - 04/08/2019 Lake Joondalup Run - 18/08/2019 Spring To It Run - 01/09/2019 Cyril Norman City Beach Cup - 22/09/2019 Wally Cairns Pancake Run & Relay - 13/10/2019 Fremantle Running Festival - 24/11/2019 John Gilmour Track Race - 01/11/2019 Deepwater Point Run - 10/11/2019 Founders City Beach Run - 08/12/2019 New Years Eve Run - 31/12/2019 Willing to help at more than the nominated races Yes Other Areas to Assist - Please Choose Race Director Deputy Race Director Traffic Control Other Please indicate if you wish to receive emails regarding offers and opportunities associated with club fun runs and club races Yes No Please Indicate whether you are happy to receive the club newsletter electronically Please Choose Happy to Receive Electronic Newsletter Prefer Mailed Newsletter Please add at least one participant
