Ashburton 6 Hour MTB Race - Registration
Sunday 2nd May 2021, Allenton Rugby Grounds, Ashburton, Email: 6hour@mountainbikeashburton.co.nz
Payment: DIRECT DEPOSIT into our bank account NBS 03-1354-0474451-00 (Mountain Bike Ashburton) by Wednesday 28th April. Please put team/solo name as a reference.$50 per person, or $25 per person 18 years and under.
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Email *
Rider 1: Name *
Rider 1: Gender *
Rider 1: Age on race day *
Rider 1: Town I'm from *
Rider 2: Name
Rider 2: Email
Rider 2: Gender
Clear selection
Rider 2: Age on race day
Rider 2: Town I'm from
Rider 3: Name
Rider 3: Email
Rider 3: Gender
Clear selection
Rider 3: Age on race day
Rider 3: Town I'm from
Rider 4: Name
Rider 4: Email
Rider 4: Gender
Clear selection
Rider 4: Age on race day
Rider 4: Town I'm from
Emergency contact/s name & phone number/s *
Please select an option from the SOLO or TEAM categories below:
SOLO Category (sponsored by Rock Racks)
TEAM Category
Team Name
Total $ to pay by internet payment ($50pp or $25pp 18yrs & under) *
Any comments
TERMS & CONDITIONS OF ENTRY I declare on behalf of my team/myself:1. I/We agree to abide by the event rules stated on the race website, 2. to participate at my/our own risk 3. I/We consent to any medical treatment deemed necessary by the event organisers 4. I/We agree that the event organisers can change the course 5. I/We consent to the use of my name and images by the event organisers at no charge 6. I/We consent to our email address being made available to race organisers and sponsors only 7. I/We hereby release the event organisers of any liability for any claims for an incident that may arise from my participation in the event. *
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A copy of your responses will be emailed to the address you provided.
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