RACE MEMBER - 1
First Name:	*
Surname:	*
Sex:	Male Female *
Date of Birth:	- - *
Address Line 1:	*
Address Line 2:
Address Line 3:
Postcode:	*
Email Address:	*
Email Address confirmation:	*
Contact Number:	*
Mobile Number:	*
Emergency contact name:	*
Emergency telephone number:	*
I declare l am physically fit. l acknowledge that adventure racing can be hazardous, and waive and renounce any rights and claims for damages l may have against the organiser or his agents for loss/injury as a result of participation in this event. If you are under 18, your parent/ guardian MUST sign their consent for you to take part on the day in person, at the event.
Confirmation. I have read and understood the waiver statement above:	Yes l agree*

RACE MEMBER - 2
First Name:	*
Surname:	*
Sex:	Male Female *
Date of Birth:	- - *
Address Line 1:	*
Address Line 2:
Address Line 3:
Postcode:	*
Email Address:	*
Email Address confirmation:	*
Contact Number:	*
Mobile Number:	*
Emergency contact name:	*
Emergency telephone number:	*
I declare l am physically fit. l acknowledge that adventure racing can be hazardous, and waive and renounce any rights and claims for damages l may have against the organiser or his agents for loss/injury as a result of participation in this event. If you are under 18, your parent/ guardian MUST sign their consent for you to take part on the day in person, at the event.
Confirmation. I have read and understood the waiver statement above:	Yes l agree*

RACE MEMBER - 3
First Name:	*
Surname:	*
Sex:	Male Female *
Date of Birth:	- - *
Address Line 1:	*
Address Line 2:
Address Line 3:
Postcode:	*
Email Address:	*
Email Address confirmation:	*
Contact Number:	*
Mobile Number:	*
Emergency contact name:	*
Emergency telephone number:	*
I declare l am physically fit. l acknowledge that adventure racing can be hazardous, and waive and renounce any rights and claims for damages l may have against the organiser or his agents for loss/injury as a result of participation in this event. If you are under 18, your parent/ guardian MUST sign their consent for you to take part on the day in person, at the event.
Confirmation. I have read and understood the waiver statement above:	Yes l agree*

EVENT
Class:	*
Solo or Team name, Club or Sponsor:	*