Individual Registration 2021 - WCB Run Warrandyte 2021

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Note: due to restrictions there will be no Under 8’s event this year.

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Individual Entries to Run Warrandyte 2021

Ticket Type - Entrant 1*

Under 18 years

Over 18 Years

Concession 60+

Distance - Entrant 1*

21km

15km

10km

5km

2.2km

First Name

Last Name

Date of Birth ×

Gender - Entrant 1*

Female

Male

Email Address

Phone

Add more people*

Yes

Ticket Type - Entrant 2*

Under 18 years

Over 18 years

Concession 60+

Distance Entrant 2*

21km

15km

10km

5km

2.2km

First Name

Last Name

Date of Birth ×

Gender - Entrant 2*

Female

Male

Email Address

Phone

Add more people*

Yes

Ticket Type - Entrant 3*

Under 18 years

Over 18 years

Concession 60+

Distance Entrant 3*

21km

15km

10km

5km

2.2km

First Name

Last Name

Date of Birth ×

Gender - Entrant 3*

Female

Male

Email Address

Phone

Total

Emergency Contact*

Enter Name & Number

Emergency Contact Name

Emergency Number

If you would like a staff member of Warrandyte Community Bank to make contact with you please tick the I agree below.

I agree

By submitting this form, you hereby agree to accept our Terms & Conditions, including the transfer of your registration to the Run Warrandyte 2021 Challenge – should the event be cancelled due to COVID restrictions being placed on public events.

You will now progress to Payment

Thank you for registering in Run Warrandyte you will now go to the Cart page to Payment

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