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Register for the Canberra Freedom Climb!

Please fill in the following form to register to join the Canberra Freedom Climb, on February 13th, 2016.

Pay online now with your credit card via Paypal

Once you register, you will be directed to another page where you can have your name, photo and a brief biography on our Climbers page so people can sponsor you.

Name and contact details
Full Name (*)

Please let us know your name.
Address (*)

Please let us know your address.
Suburb (*)

Please let us know your suburb.
State (*)

Please let us know your state.
Postcode (*)

Please let us know your postcode.
Phone / Mobile (*)

Please enter your phone number
Your Email (*)

Please let us know your email address.
Registration and merchandise
Payment Method:
Registration (*)





Please choose one of the options
Please select the merchandise you'd like to purchase




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If you would like more options, please visit our store .

Total: $0.00

Your personal sponsorship page
Please write a brief paragraph about why you are participating in Freedom Climb (approx. 50 words, see other bios for ideas) (*)

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Name or nickname you would like posted for your sponsorship profile

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I agree to my photo being on the Freedom Climb web site for the purposes of raising awareness and sponsorship (*)


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Photo for sponsorship page (*)

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For our info...
Before hearing about Freedom Climb, which of the following statements applied to you regarding human trafficking? (tick those that apply)





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I would like to receive the monthly Freedom Climb Prayer Update


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How did you hear about Freedom Climb?

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Ready to go!


Once you clicked Register Now, it will take a few seconds to minutes for the photo to upload. Please be patient while it processes your registration.

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