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Get ACTIVe. Be a Hero.
Become a Rare ACTIVist today!
rare activist sign up form
ID / Passport number (required for event registration purposes)
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How did you hear about Rare Diseases South Africa?
Media (Print / TV / Radio)
Support Group Referral
Which medical aid are you on?
Medical Aid Number
Vitality / Momentum Rewards Number (if applicable)
What disciplines would you like to partake in?
Shirt size (for both cycling and running)
What is your reason for becoming a #RareACTIVIst?
Upload your profile picture
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Do you provide us with consent to share your picture and reason for becoming a #RareACTIVist on social media as part of our marketing efforts?
By signing up as a Rare ACTIVist, do you agree to raise funds for RDSA NPC, using our fundraising platform?
I want to subscribe to the newsletter.
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Team Sign up Fee - R100
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