Race Registration Form

Please not e: if entering as a Team or Corporate Team, in order to comply with the Terms and Conditions of entry, each participant will need to enter individually and record your Team/Corporate Team name on the registration form.

The fields marked * are required to be entered. The race entry fee is $85.00.

• Title: Mr Ms Miss Mrs

• First Name:

• Last Name:

• Email:

• Your Phone:

• Postal Address:

• Country:

• Race Category: Alpine Junior Men 16-18years Alpine Junior Women 16-18years Alpine Open Men (19-35years) Alpine Open Women (19-35years) Alpine Open Masters 1 Men (36 -39yrs) Alpine Open Masters 1 Women (36 -39yrs) Alpine Open Masters 2 Men (40 -49yrs) Alpine Open Masters 2 Women (40 -49yrs) Alpine Classic Men 50+ yrs Alpine Classic Women 50yrs Men’s Team (2 or 4 person ) Women’s Team (2 or 4 person) Corporate teams (2 or 4 person) Mixed Team (2 or 4 person)

• If Applicable, your team name:

• T-Shirt ($30): None Small Medium Large

• Comments:

• Medical Conditions:

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