October 14 2018

REGISTER

Companion Application

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To register as a Companion for a person in need of assistance in this year’s Medibank Melbourne Marathon Festival, please complete the form below.

Please note, once you have applied to be a companion you will be eligible to collect a companion bib from the Race Week Office during opening hours. Please note all companion bibs will be distributed from the ‘Enquiries’ window outside Gate 2. Unfortunately no companion bibs can be mailed out however a friend or family member can collect your bib on your behalf.

Companion Application

Please select the event you will be taking part in*
Name of Companion*
First Last
Gender*
DOB*
Email*
Phone Number*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Emergency Contact*
First Last
Emergency Contact Phone Number*
Medical Conditions
Name of person for whom you will be accompanying*
First Last
Please confirm that the person you will be accompanying is a confirmed entrant in the event?*
- Yes
- No
Please note to be eligible for a carers position in this event, the person whom you are caring for must be a registered participant.

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