Tell us, at least one race that you have completed. For 162KM, 119KM and 75KM, this will determine if you qualify to enter. Our Race Director will review your submission, and only after Approval (and Payment) your participation will be Confirmed.
or Upload your Result gif|jpg|png|jpeg|doc|docx|pdf (max filesize 5Mb)
Correspondence & Residential Address
State / Prov
In case of emergency, who should we contact?
Emergency Contact Name
Emergency Contact Number