Your details

Entry type:	Male       Female
Name:
Address:
Age on race day:
Email address:
Phone:
Estimated Time:	hr min
Early Starter:	Yes       No

Event entered

Half Marathon (21.1km)	Run	$50
	Walk*	$50
Quarter Marathon (10.55km)	Run	$30
	Walk*	$30
Add late entry fee after Sat 24 April		$10

* Walk events are open to any style of walking, but walkers must not run. Entrants wishing to jog/walk should enter as Runners.

Admin fee of $15 applies to any refunds. No refunds after Wed 21 April.

Declaration

For safety reasons no headphones (ipods, walkmans, headphones of any sort) to be worn.

Age Limits - Parents or guardian must sign entry form for any participant under age 16.

I understand that I am entering this event at my own risk. I agree to read and adhere to the race instructions.

Name:
Date: