Please fill out this form to complete your registration

In order to confirm your place in the 2017 Step Up Sky Tower Stair Challenge, you need to declare any pre-existing medical conditions you have. This includes, but is not limited to, any cardiac related issues, asthma, and epilepsy. 

Your medical information is confidential and will remain solely with the event organisers and medical team.
All participants must complete this form in order to be allowed to compete in the event.

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* 1. First name

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* 2. Last name

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* 3. Organisation name

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* 4. Do you have any pre-existing medical conditions?

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* 5. Please outline any pre-existing medical conditions you have. You may be requested to provide further medical information to participate in the event.

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