Sri Chinmoy Winter Wynnum Seaside Run

Who are you registering? Choose one Yourself

Team name   First name   Last name   Email address   Age on event date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 Gender -- Male Female   Phone #   2.5km, 10km & 21km Choose one 2.5km 5km 10km 21km   Category Choose one Under 12 Under 16 Under 8 Choose one Female 50-59 Female 60-69 Female 70-79 Female 80+ Female U50 Male 50-59 Male 60-69 Male 70-79 Male 80+ Male U50 Choose one Female 50-59 Female 60-69 Female 70-79 Female 80+ Female U50 Male 50-59 Male 60-69 Male 70-79 Male 80+ Male U50 Choose one Female 50-59 Female 60-69 Female 70-79 Female 80+ Female U50 Male 50-59 Male 60-69 Male 70-79 Male 80+ Male U50   Event entry fee TBD

T-shirt design View image Rapidcool t-shirt specs View image Want to purchase a T-shirt? NoYes 25.00 AUD Womens or mens size Choose one womens mens    * Select size Choose one Mens S M L XL 2XL Womens 10 12 14 16    * Select colour Choose one Cyan Lime    *

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Please review the waiver provided by the event organizer and click the check box below to accept it. Print waiver In consideration of the acceptance of my entry, I do hereby, for myself, my executors and assignees, release and forever discharge the organisers and their respective officers, agents, representatives and/or assignees and supporters from all claims of damages, demands, actions whatsoever in any manner arising or growing out of my participation in this event. I attest and verify that I have full knowledge of the risks involved in participating and that I have no physical or mental condition which has the potential to put myself or any other person at risk and that I am physically fit and sufficiently trained to participate in this event. I have read and understood the rules and conditions for the event and agree to abide by them and to accept any decisions made under them. I hereby consent to receive any medical treatment which may be deemed advisable during the event. I agree to have my photographic image used in future event publications and websites by the event organisers. I acknowledge that the organisers reserve the right to change the advertised starting time, course or composition of the event at any time. In the instance that I am under the age of 18 years at the time of registration I confirm that I have obtained permission from my parent / guardian to participate in the event and that they have read and agreed to all the conditions outlined in this waiver. I accept the terms of the waiver