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Australia
Competitors
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Entry Form
All prices are AU$
Name:
*
Email
*
Nationality:
*
Year of Birth:
*
Gender:
*
Male
Female
Team:
Type of Participation
Competitor ($70)
Supporter ($20)
Support Under 12
How Many Children Under 12 :
Name(s) and Age(s):
Name
Age
WC RACES
Sprint:
Yes
No
Criterium:
Yes
No
Endurance:
Yes
No
Relay:
Yes
No
Relay Team Name:
T-shirt ($27 each)
Click here to see t-shirt designs
T-shirt
Yes
No
Sizes
MALE:
Long Sleeve:
Click here for size reference
Male - Long Sleeve - Extra Small
Quantity
Extra Small
Price:
$ 27.00
Quantity
Male - Long Sleeve - Small
Quantity
Small
Price:
$ 27.00
Quantity
Male - Long Sleeve - Medium
Quantity
Medium
Price:
$ 27.00
Quantity
Male - Long Sleeve - Large
Quantity
Large
Price:
$ 27.00
Quantity
Male - Long Sleeve - Extra Large
Quantity
Extra Large
Price:
$ 27.00
Quantity
Male - Long Sleeve - 2 Extra Large
Quantity
2 Extra Large
Price:
$ 27.00
Quantity
Male - Long Sleeve - 3 Extra Large
Quantity
3 Extra Large
Price:
$ 27.00
Quantity
Male - Long Sleeve - 4 Extra Large
Quantity
4 Extra Large
Price:
$ 27.00
Quantity
Male - Long Sleeve - 5 Extra Large
Quantity
5 Extra Large
Price:
$ 27.00
Quantity
Short Sleeve:
Click here for size reference
Male - Short Sleeve - Extra Small
Quantity
Extra Small
Price:
$ 27.00
Quantity
Male - Short Sleeve - Small
Quantity
Small
Price:
$ 27.00
Quantity
Male - Short Sleeve - Medium
Quantity
Medium
Price:
$ 27.00
Quantity
Male - Short Sleeve - Large
Quantity
Large
Price:
$ 27.00
Quantity
Male - Short Sleeve - Extra Large
Quantity
Extra Large
Price:
$ 27.00
Quantity
Male - Short Sleeve - 2 Extra Large
Quantity
2 Extra Large
Price:
$ 27.00
Quantity
Male - Short Sleeve - 3 Extra Large
Quantity
3 Extra Large
Price:
$ 27.00
Quantity
Male - Short Sleeve - 4 Extra Large
Quantity
4 Extra Large
Price:
$ 27.00
Quantity
Male - Short Sleeve - 5 Extra Large
Quantity
5 Extra Large
Price:
$ 27.00
Quantity
FEMALE:
Long Sleeve:
Click here for size reference
Female - Long Sleeve - 6
Quantity
6
Price:
$ 27.00
Quantity
Female - Long Sleeve - 8
Quantity
8
Price:
$ 27.00
Quantity
Female - Long Sleeve - 10
Quantity
10
Price:
$ 27.00
Quantity
Female - Long Sleeve - 12
Quantity
12
Price:
$ 27.00
Quantity
Fmale - Long Sleeve - 14
Quantity
14
Price:
$ 27.00
Quantity
Female - Long Sleeve - 16
Quantity
16
Price:
$ 27.00
Quantity
Female - Long Sleeve - 18
Quantity
18
Price:
$ 27.00
Quantity
Female - Long Sleeve - 20
Quantity
20
Price:
$ 27.00
Quantity
Female - Long Sleeve - 22
Quantity
22
Price:
$ 27.00
Quantity
Female - Long Sleeve - 24
Quantity
24
Price:
$ 27.00
Quantity
Short Sleeve:
Click here for size reference
Female - Short Sleeve - 6
Quantity
6
Price:
$ 27.00
Quantity
Female - Short Sleeve - 8
Quantity
8
Price:
$ 27.00
Quantity
Female - Short Sleeve - 10
Quantity
10
Price:
$ 27.00
Quantity
Female - Short Sleeve - 12
Quantity
12
Price:
$ 27.00
Quantity
Female - Short Sleeve - 14
Quantity
14
Price:
$ 27.00
Quantity
Female - Short Sleeve - 16
Quantity
16
Price:
$ 27.00
Quantity
Female - Short Sleeve - 18
Quantity
18
Price:
$ 27.00
Quantity
Female - Short Sleeve - 20
Quantity
20
Price:
$ 27.00
Quantity
Female - Short Sleeve - 22
Quantity
22
Price:
$ 27.00
Quantity
Female - Short Sleeve - 24
Quantity
24
Price:
$ 27.00
Quantity
YOUTH:
Long Sleeve:
Click here for size reference
Youth- Long Sleeve - 6
Quantity
6
Price:
$ 27.00
Quantity
Youth- Long Sleeve - 8
Quantity
8
Price:
$ 27.00
Quantity
Youth- Long Sleeve - 10
Quantity
10
Price:
$ 27.00
Quantity
Youth- Long Sleeve - 12
Quantity
12
Price:
$ 27.00
Quantity
Youth- Long Sleeve - 14
Quantity
14
Price:
$ 27.00
Quantity
Youth- Long Sleeve - 16
Quantity
16
Price:
$ 27.00
Quantity
Short Sleeve:
Click here for size reference
Youth - Short Sleeve - 6
Quantity
6
Price:
$ 27.00
Quantity
Youth - Short Sleeve - 8
Quantity
8
Price:
$ 27.00
Quantity
Youth - Short Sleeve - 10
Quantity
10
Price:
$ 27.00
Quantity
Youth - Short Sleeve - 12
Quantity
12
Price:
$ 27.00
Quantity
Youth - Short Sleeve - 14
Quantity
14
Price:
$ 27.00
Quantity
Youth - Short Sleeve - 16
Quantity
16
Price:
$ 27.00
Quantity
MEALS
Dinner - Thursday July 7 ($36) Special Aussie BBQ
Yes
No
Breakfast - Friday, July 8 ($15)
Yes
No
Lunch - Friday, July 8 (Purchase yourself from canteen kiosk)
Dinner - Friday, July 8 ($22)
Yes
No
Breakfast - Saturday, July 9 ($15)
Yes
No
Lunch - Saturday, July 9 ($16) Pre-order packed lunch here. We will also organise a trackside coffee cart which will have cold pressed juice, fresh sandwiches and cakes.
Yes
No
Dinner - Saturday, July 9 ($22)
Yes
No
Breakfast - Sunday, July 10 ($15)
Yes
No
Lunch - Sunday, July 10 ($16)
Yes
No
Dinner & Farewell Party - Sunday, July 10 ($33)
Yes
No
Gym Membership at Sports Super Centre
from Monday 4 July - Monday 11 July 2016 ($50)
Gym Membership at Sports Super
Yes
No
Special Needs
If you have any special dietary needs, questions or requirements, please fill in the box below:
Captcha
Total
$ 0.00
Δ
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