Epilepsy Foundation : Register

Title *

First Name *

Last Name *

Email Address *

Password*

Mobile

(enter manually)

UnitStreet Number

Street

Town/Suburb

Postcode

State

Country

These will be displayed on your fundraising page. Don't worry you can change them at anytime.

Profile Image

I've decided that it's time for me to do something out of the ordinary.

I've decided to help the Epilepsy Foundation make a huge difference for the 1 in 25 people whose lives are affected by epilepsy.

I'm hoping that while I complete this project, you will show your support by making a donation.

Let's give those who are living with epilepsy the chance of a better life.

Thomas' Annual Fundraiser