Register - 2026 CEO Walk In My Shoes - March

Create Account
Create Your Page
Optional Donation

Register for CEO Walk In My Shoes

Create Account
Already have an Account

Personal Details

First Name *

Last Name *

Email Address *

Password*

Mobile *

Date of birth

Dietary Requirements

I agree to RMHC Northern NSW sending me marketing updates.

Yes No

Postal Address *

(enter manually)

UnitStreet Number *

Street *

Town/Suburb *

Postcode *

State *

Country *

Emergency Contact Details

Please provide us with an emergency contact

First Name *

Last Name *

Contact Number *

Relationship to you

Organisation Details

Organisation Name *

Your Position *

Medical Conditions

Do you have any pre-existing medical conditions which might affect your ability to take part, or be relevant if treatment is needed?

Yes No

Upload Hi-Res Headshot

Upload your business logo

Vaccination status *

Yes, I am fully vaccinated and will show my vaccination certificate upon arrival to the House *

Fundraising Minimum *

I agree to raise a minimum of $1,600

Please advise your tea or coffee order *

How did you hear about us? *

CEO Walk In My Shoes

Newcastle

26 - 27 March 2026

Register for CEO Walk In My Shoes

Create Account

Already have an Account

Already have an Account with us?

Personal Details

Postal Address *

Emergency Contact Details

Organisation Details

Medical Conditions