11 Leslie Street, Brunswick, VIC 3056
 
TEL: 03 9388 1279

Saturday 13th February 2016

12pm - 5.30pm (Exact finish time will be announced closer to the date.)

4 Person Team (2 men, 2 women) Details:

TEAM CAPTAIN
Name *
Name
Phone *
Phone
Team Emergency Contact Number *
Team Emergency Contact Number
(eg born ready, you go first while I just rest a little)
(eg personal experience, inspired by what they do etc)
TEAM MEMBER 1
Name *
Name
TEAM MEMBER 2
Name *
Name
TEAM MEMBER 3
Name *
Name
JUDGE/VOLUNTEER
All teams must bring one volunteer with them to help with judging
Name *
Name
Phone *
Phone
Note: Judges/Volunteers will need to be available the evening before the event from 6:30pm - 7:30pm to run through the days logistics.
PAYMENT INFO
$100 per Team - 50% of the proceeds from the day will go to the winning team's charity.
Waiver/Release of Liability
On behalf of the team - do you accept the agreement, waiver & release of liability?

Click here to download the Waiver and Release of Liability Form.

Terms and conditions: All registrations for this event are non-refundable.