Entry to Events



Please complete the entry form below.

Payments made online require your first and last name as a reference.

Entries for : Sunday, 6 November 2011

Parents name:

Phone:

Cell Phone:

Email address:

Are you a first time competitor?

How did you hear about Tiddlers? :

Physical address:

Parent/s attending:

We understand the rules of the race and have explained these to our child competing.  We understand that we are responsible for the well being of our children and will be available at all times of the race should they need our support.

Yes No

We agree to receive future race information via email:

Yes No

  2 & 3 year olds - $15.00 per child

Name of child entering

Age Fun Run

 

 

 

  4 -8 Year Olds - $15.00 per child

Name of child entering

Age

 Children 4-8 yrs can choose either:
- Duathlon (run, bike, bouncy castle, gloop slide) 
or
- Running Race (run, bouncy castle, gloop slide)

Duathlon Confident Rider: Yes No

Running Race

Duathlon Confident Rider: Yes No

Running Race

Duathlon Confident Rider: Yes No

Running Race

 If your child has any special needs, please let us know so that we can assist
Name of child   Special Needs
 
 

Entry Fee: 2 - 3 year old $15.00, 4 - 8 year olds $15.00

Your unique number is:   HTML Hit Counters

Please pay by direct credit to Tiddlers SBS Trust Account, 03 1355 0598106 00,
Reference - Surname, Particulars - Childs name & unique number above

Your Unique Number:

Amount deposited: $

Please feel free to make a comment, or ask a question:

The entrant has read, understands, agrees to and accepts the rules upon entry

 

 

CC