Worldcup 2018 Register

PERSONAL DETAILS

FULL NAME *

EMAIL *

SOCIAL MEDIA TAG

MOBILE NUMBER *

ADDRESS *

COUNTRY *

Age *

SHIRT SIZE *

STREET RACE

AT RACE

WILD CARD RACE

NONE

Emergency Contact Name

MOBILE NUMBER *

IF YOU ARE PURCHASING A BATTERY HIRE, YOU MUST SELECT A START DATE IN ORDER FOR A BATTERY TO BE AVAILABLE FOR YOU.

BATTERY HIRE START DATE *

IF YOU ARE BETWEEN THE AGES OF 15 and 18 YOU ARE REQUIRED TO HAVE A PARENT OR GUARDIAN AT THE EVENT TO SUPERVISE YOU AT ALL TIMES.

DO YOU UNDERSTAND THE TERMS AND CONDITIONS OF PARTICIPATION

YES, I HAVE READ AND UNDERSTAND