Zooming away to Dubbo! 2023

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Indication your intention to participate on this run 19 to 21 May 2023

Email *

Full Name: *

Membership Number: *

Phone Number: *

Name of passenger / person accompanying: (type NONE if no person attending with you) *

Membership Number:

Hotel bookings: *

I have booked at Comfort Inn, 57 Cobra Street, Dubbo City. Call them on 6882 7033 to book.

I have made other arrangements.

Dubbo Zoo. Number of people attending:

I / we will make other arrangements

Friday & Saturday night dinner at the Dubbo RSL Club - please indicate the number attending: *

I / we will make other arrangements

Required

I agree that I have a registered and insured car, hold a current and valid Driver's Licence and am familiar with and will abide by the Run Guidelines, the Club's Incident Procedures and the directions of Club Officials and Volunteers responsible for the event. *

I agree

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms