Entry Form

	For detailed event and race information or to enter by mail please download and print the entry form.
	Downloadable entry form -HERE

	To enter via the Internet please fill in the form below.
Please Note Online entries must be completed by the close of business (5.30pm EST) the Friday preceding the actual race date.

Participant's Agreement

* Please tick to confirm that you have read and accept the
participants agreement. (parent or guardian to tick if participant is under 18)

Participant's Agreement Warning - This is a legal document that affects your rights. 1. I acknowledge that competitive fun run involves the real risk of serious injury or even death from various causes including overexertion, equipment failure, dehydration, accidents with other participants, spectators or road users, course or weather conditions and other causes. 2. I understand that I should not compete in this event unless I have trained appropriately and my physical condition has been verified by a medical practitioner. 3. By competing, I accept all risks necessarily flowing from my participation, which could result in loss of life or permanent injury. Accordingly, I release all persons or corporations associated directly or indirectly with the conduct of the event from all claims demands and proceedings arising out of my participation and I hereby indemnify them against all liability (including liability for their negligence and the negligence of others) for all injury, loss or damage arising out of or connected with my participation in this event. This release and indemnity continues forever and binds my heirs, executors, personal representative and assigns. 4. I consent to receiving any medical treatment that the event organisers think desirable during or after the event. 5. I consent to event organisers using my name, image and likeness before, during or after the event for event promotional broadcasting or reporting purposes in any media 6. I understand that compulsory insurance cover effected for participants in this event may not cover me for all injury, loss or damage sustained by me. 7. Safety precautions undertaken by organisers (such as course supervision, race safety briefings, etc.) are a service to me and other competitors but are not a guarantee of safety. 8. I am fully responsible for the security of my personal possessions at the event. 9. My registration is not transferable to other people. If the event is cancelled, my registration fee is non-refundable. 10. I have listed below my medical and physical conditions from which I suffer that might affect my performance or be relevant if medical treatment is needed. 11. I agree to abide by all race rules and directions issued by the event organiser. 12. I acknowledge that by reasons of circumstances beyond the control of the event directors, it may be necessary or desirable to change the format of the event, and if that occurs, I consent to the changes and I agree that each and every one of the conditions herein set out shall apply to that changed event. 13. If the event is cancelled due to flood, cyclone, torrential rains or other 'acts of God' conditions, I understand that the entry fee will not be refunded. 14. I agree to abide by the event organisers Refund and Transfer Policy. 15. Participants Agreement hereby certify that I am eighteen (18) years of age or older or permission for my participation in the Fun Run series has been granted by my parent/guardian. I/We have read this document and I/We understand and accept its contents. As a participant (a) I agree to the above for myself (b) I indemnify and will keep indemnified all people and corporation associated with the conduct of the event on the terms referred to.

I agree :
* - Please fill in required fields.
	Event Entered		Race 1	Race 2 to 5	All races paid in advanced
Endura	Run:		$15.00	$20.00	$80.00
Rebel Sport	Walk:		$15.00	$15.00	$60.00
Nike	Kids Challenge:		$10.00	$10.00	$40.00
Sanctuary Cove	5km Series:		$15.00	$15.00	$60.00
McDonalds	Junior Dart:		$6.00	$6.00	$25.00
Race 1 24/02/08 Race 2 16/03/08 Race 3 6/04/08 Race 4 04/05/08 Race 5 15/6/08 Please enter the amount you are expecting to pay from what you have selected above:     Total Race Entry $:       Personal Details :   Surname: * First Name: * DOB: * Age: (at 24/02/08) * Gender: * Please Select Male Female   Address: * City Suburb: * Post Code: Country: (if not Aust.)   Phone Contact: * Email: *           Medical Conditions: (see item 10)       Payment Details   Payment may be made by Bankcard, MasterCard or Visa.   I hereby authorise the following debit to my credit card in favour of Corporate Challenge.       Card type:   This information is processed by a Secure Server Cardholders Name: Card Number: Expiry Date: Amount: