Fitness Challenge

First name*

Last name*

Email*

Phone

Selection required*

I understand PCYC Queensland may contact me using the details provided above regarding their charitable purpose, request for donations and other products, programs and activities.
I understand by undertaking today's fitness challenge, it is my responsibility to ensure I am able enough to participate and perform the activity safely for myself and other participants.

Thanks for giving $5 to take part in our Fitness Challenge! Funds will be directed to PCYC Queensland's Youth and Community Programs