Register Associate

Associate Member Website Account

The Username to be given to this particular Associate
(required for the Associate to login to the website, it must be unique and not contain any spaces)

Charity / Community Group (required)

Associate Member Details

Title (kept private, required)

First Name(s) (kept private, required)

Surname (kept private, required)

Gender (to help improve our service, kept private, required)

Age of Associate (kept private, required)

The associate is not resident in either the USA or Canada (required)

By registering this associate I understand that The Challenge Hub may contact me by email, and that such e-mails may contain information concerning their partners

I have read and agree with the Cookie Policy, Privacy Policy and Terms of Use

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