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State Title Registration

Please fill out the following form to Register for the State Titles.

Event # State Titles – Lake Kurwongbah
Sunday 4th March 2012

Fee $50

Sun – Rider Briefing 8:00am Rider Start 8:30am sharp

Full Name (required)

AWWF Membership #(required)

Your Email (required)

Address

Suburb

Post Code

Phone

Mobile

Emergency Contact

Emergency Phone

Division - Age as at 1 July 2010 (See below for Details)
 Under 9 Boys Under 9 Girls 10-14 Girls 10-14 Boys 15-19 Junior Women 15-19 Junior Men 20-29 Womens 20-29 Mens Open Womens Open Mens Masters Womens 30+ Masters Mens 30+ Veterans Womens 40+ Veterans Mens 40+

Other Comments

Conditions of Entry (See Below)
 I Agree

CONDITIONS OF ACCEPTANCE OF ENTRY:

  • COMPETITORS MUST COMPLETE ENTRY FORM BEFORE PARTICIPATION WILL BE PERMITTED
  • ALL DETAILS TO BE COMPLETED
  • ALL ENTRY FEES AND AWSF FEES MUST BE PAID IN FULL BEFORE ANY PARTICIPATION
  • IF UNDER 18, A PARENT OR GUARDIAN MUST SIGN & ACCEPT ABOVE CONDITIONS ON BEHALF OF COMPETITOR
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