Registration Form

Email *

First Name *

Last Name *

Have you already run this summer, and got a Race number for the Waterfront 5k? *

Yes

No

2019/20 Race Number *

Running club

Place of work

Gender *

Male

Female

Date of Birth (dd/mm/yyyy format) *

Phone Number *

Address (suburb/City) *

Runner or Walker? *

Runner

Walker

Any Medical Conditions?

Emergency Contact Name

Emergency Contact phone number

Do you want to prepay for entries? *

Yes

No

Event Entry fee options

Single event ($7.50 total - $7 race fee +$0.50 online processing cost)

Season pass ($85 one person only, one year only, comes with a free pair of Drymax Socks from Shoe Clinic)

5 event multi-trip ($30 - $6 per event - can be shared between multiple individuals, has up to two year limit for use )

10 event multi-trip ($55 - $5.50 per event - can be shared between multiple individuals, has up to two year limit for use )

20 event multi-trip ($100 $5 per event - can be shared between multiple individuals, has up to two year limit for use )

2019/20 Race Number

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