CresWalk2006 Online Entry Form

(Please complete ONE entry form for each entrant)

Entries close Sunday 23 April at 5pm. Entries after this day will be accepted as Late Entries

Registration Fees:              Adults $15  Children (under 16) $10

Enter the details below and click on the Submit Form button at the end:

 

Title 

  (required)

First Name/s

  (required)

Last Name

  (required)

Street Address

  (required)

Town/Suburb

  (required)

Post Code

  (required)

Date of Birth (DD/MM/YYYY) 

 // (required if under 16 years)

Age at 21/05/06

  (required if under 16 years)

Gender

 Male Female (required)

Mobile Phone

  (if available)

Home/Work Phone

  (if available)

E-mail

  (required)

RACE CATEGORY

  (required)

T-SHIRT SIZE

  (required)
   

In submitting this form I acknowledge that I have read and have accepted the entry conditions as detailed below

 

 

ENTRY CONDITIONS 

 

·         I have read the conditions of entry for this event. I acknowledge that running is a potentially hazardous activity and understand the demanding physical nature of the event. I should not enter and run unless I am medically able and properly trained. I agree to abide by any decision of the organization relative to my ability to safely complete the run. In the event that I become aware of any medical condition or impairment, or am otherwise sick or injured prior to the event, I will withdraw from the event.

 

·         I acknowledge that participating in this event may involve a real risk of serious injury or even death from various causes including exertion, dehydration, and accidents with other participants, spectators or road users.

 

·         I acknowledge that it is a condition of participating in this event that I do so at my own risk. I accept all risks and release the event organizers, their agents, affiliates, employees, members, sponsors, promoters, volunteers, and any person or body, directly or indirectly associated with the event, from all claims, demands and proceedings arising out of, or connected with my participation in this event and I indemnify them against all liability for all injury, loss or damage arising out of, or connected with my participation in this event. This release continues forever, and binds my heirs, successors, executors, personal representatives and assigns.

 

·         I acknowledge that all children under my care are my responsibility and that I will take the necessary and appropriate steps to ensure their safety and well-being at all times during the course of the event.

 

·         I consent to the event organizers using my name, image and likeness, before, during or after the event.

 

·         I agree that the decision of the organizers with respect to the awarding of results and prizes will be final and binding on all and no correspondence will be entered into

 

·         I certify I will abide by the rules and regulations as stipulated by the organizers before and during the event.

 

·         I agree that my registration is not transferable to other people, and if I am unable to compete my registration fee is not refundable.

 

·         I agree that should the event be cancelled for any reason, my entry fee will not be refunded and no liability of any kind whatsoever will attach to the organizers