P6 ENTRY FORM

Be in the first 15 teams to enter and you could become a sponsored team with all the goodies sponsored teams get!

We will make a draw from the first 15 teams entered and the winning team will become Team Serfas. Our new event sponsor Serfas will give the team a bundle of goodies including team clothing and equipment, including some mountain bike shoes! The only condition...is to send us a few pre-event reports on the team training and how preparation is going...and off course - race as Team Serfas on the day!

 

INSTRUCTIONS:

Complete on-line, submit and pay into our bank account (noting your surname as a reference)

OR

Print out and complete the entry form below and post with payment to (cheques also payable to):

Lactic Turkey Events, PO Box 60 540, Titirangi, Auckland 0642

 

* Mandatory Field

Team Captain E-mail*

Team Captain Name*

Team Captain Address

Team Captain Phone

Team Captain Age

   

Team Name*

   

Team Gender Category (choose one)*

Men Women Mixed

Corporate (must include at least 1 woman)

Team Age Category (choose one)*

Junior (under 19) Open Veteran (40yrs +)

 
   
NAME
AGE
EMAIL

Person 2 *
Person 3
Person 4
       

Open ($95 per person)

Junior and senior citizens over 80 years ($65 per person)

Late entry on the day $20

Total Paid*

 

Payment Method*

Please pay into our Kiwi Bank account called "Lactic Turkey Events Limited" account number

38-9005-0018737-00

Cheque Direct into Lactic Turkey Bank

Card Card - you'll have a chance to pay by credit card on the next screen once you have submitted this entry info

Date Paid

Reference of Payment

How did you hear about this event?*

Subscribe

LATE ENTRY FEE APPLIES IF RECEIVED AFTER 4 NOVEMBER 2009

Confirmation of entry is by e mail to team captain.

Waiver you will sign on the day:

I declare that I have fully read and understand the rules and conditions of the P6 Adventure Race. I attest that I am fully aware of the risks and hazards involved in participating in this event and I understand that participation in the event is at my/our own risk. In consideration of the acceptance of my entry fee, I do hereby on behalf of my heirs, executors, administrators and assignees release and forever discharge the sponsors of, landowners and any and all persons involved in the conduct of the P6 Adventure Race from any and all liability whatsoever or claims of damages or actions whatsoever (including negligence) in any manner arising out of my participation in the P6 Adventure Race. I agree that the P6 Adventure Race and any sponsor of this event may use information contained in this form for purposes connected with the event, and to provide details of other products,  services and events to me from time to time. I understand that I have rights under the Privacy Act 1993 to access and correct any information held about me.

Refund Policy - Refunds will be given at the discretion of Lactic Tukey Events. Entries cancelled greater than two weeks before an event will receive a full refund. Entries cancelled within two weeks of the event can be used as a credit for another Lactic Turkey event or can be refunded less a $10 administration charge. No refunds will be given for cancellations within 48 hours of the event day. Refunds will be paid direct into a bank account as nominated by the participant.