Shave for a Cure NZ : Register

Account
Your Page
Optional Donation

Joining Team LH.lest4colz

I'd rather just register as an individual

Create Account
Already have an Account

Personal Details

First Name *

Last Name *

Email Address *

Password*

Phone *

I am over 16 years old *

Yes No

I'd like to hear how the money I raise is making a difference.

Yes No

Postal Address

(enter manually)

Address Line 1

Address Line 2

Town/Suburb

Postcode

Region

Country

Years of Participation

How many years have you participated in Shave for a Cure? *

Shave Date

When is your Shave Date? *

Shave, Cut or Colour Type

What kind of shave will you be doing? *

Are you completing this challenge in honour of someone?

You can make your shave even more meaningful by dedicating it to someone special to you. This is a powerful thing to do. We appreciate you sharing this important information with us.

I'm dedicating this in honour of my

I'm dedicating this to

Photo (optional):

I agree to the terms and conditions of Shave for a Cure and the privacy policy.*

Register