Event registration

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Details

WHM Gala Day 2026

Sat 05 Dec 2026 10:30 - 16:00

Perth Hockey Stadium

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First name*

Last name*

Phone number*

Email address*

Address*

Hips

Knees

Cancers

Hearts

Over 80s (born 1946 or before)

Yes

Name (if not a WHM Member)

Email address (if not a WHM Member)

I am over 18, or, if I am under 18, this registration has been filled out by and endorsed by my parent or guardian.*

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