Name *

First Name

Last Name

Phone *

(###)

###

####

DOB *

MM

DD

YYYY

Event *

Please tell us your availability from the list of times and dates below. You can select multiple days and times.

Race Pack Collection (3pm to 6pm on Thurs 5th Oct)

Race Pack Collection (3pm to 6pm on Fri 6th Oct)

Golding Kids Colour Ride (2pm to 6pm on Sat 7th Oct)

BMA River 2 Reef Ride (5am to 11am on Sun 8th Oct)

BMA River 2 Reef Ride (7am to 1pm on Sun 8th Oct)

Blue Card *

Do you have a valid Blue Card? This is not a necessary requirement however will help us to determine the best place for you at the event.

Yes

No

First Aid Certificate *

Do you have a valid First Aid Certificate? There will be Aid Stations out on the course for all events. If you have a First Aid Certificate we may choose to place you on an Aid Station.

Yes

No