Registration

Please read the waiver before filling out the entry form.

Bike the Trail
01.	Main contact: (First name)
02.	Surname:
03.	Gender:
04.	Age:	0-15 16+
05.	Email:
06.	Phone (Day):
07.	Cellphone:
08.	Address:
09.	Suburb:
10.	City:
11.	Postcode:
12.	I have read and accept the Waiver and Release Statement (please tick the box to accept the waiver)
13.	How did you find out about Bike the Trail?	Website Email Newspaper Radio Signboard Billboard Word of Mouth Summer Scene Poster Flyers Previous participant Avanti Plus Other bike shop Other
14.	What is your preferred method of finding out about events?	Email Post Radio Newspaper Flyer Other
15.	Would you like to be contacted about about any further event or sponsor information?	Yes No
Additional Family Members:
16.	First Name:
17.	Surname:
18.	Gender:
19.	Age:	0-15 16+
20.	First Name:
21.	Surname:
22.	Gender:
23.	Age:	0-15 16+
24.	First Name:
25.	Surname:
26.	Gender:
27.	Age:	0-15 16+
28.	First Name:
29.	Surname:
30.	Gender:
31.	Age:	0-15 16+
	Please type the characters shown into the validation box:

Event Organisers:

Naming Sponsor:

Supported By: