FightMND : Register

Joining Team Florida Beach Fitness Ice Bucket Challenge

Start by typing your details below

First Name *

Last Name *

Alternate display name

Email Address *

Password*

Mobile *

Date of birth *

Gender *

Postcode *

State *

Please send me the latest FightMND news, including the impact of my support – opt-out at any time

Yes No

What is your connection to MND?

Privacy *

Please read our Privacy Policy and Collection Statement.

I have read and accept how FightMND collect and handle my personal information via their privacy policy and collection statement.