Please follow these intructions to register. Registrations will not be accepted without EFT payment.

To enter event:

1. Cut, paste the entry form questions into an email, complete entry details then email to 

Tony@mtcoorooraendurancechallenge.com

2. Make payment via EFT to the following account and type in the reference HENDRIX in the "Description on recipient's statement" box.

BSB 064466

Acc 1011 0545

3. when I receive the email and corresponding EFT fee, I will email back your confirmation and event details.

 How is this view, from near the summit?

ENTRY FORM DETAILS

First name:

Surname:

Age on Sept 16th:

Email:

Mob Number:

Postal Address:

Town/City You live in:

Contact details in case of emergency: Name:                 Phone:

Select 4 hr solo or 8 hr solo/pairs.                                        ........

If in a pairs team, Name partner:                                         Age:

Contact details in case of emergency: Name:                 Phone:

Amount you are transferring:    $

(Entry fee per person is; 

up til May 31st,   $110.........Early bird

June 1st to Sept Aug 31st,  $130.......Standard entry

Sept 1st to Sept 15th,  $150)..........Late entry

I (and my team partner) have read and understood the event rules and waiver contained on this website and I agree to abide by them. By sending this entry form off and making payment I confirm this.

Donations  to our children's health causes can be made via the EFT as well. If you are making a donation, please email me also with the amount so I know what donations are made over the entry fees.

Why not get a group of friends, colleagues or a business to sponsor you for your efforts?

 

Got any questions? Would you like to be added to our mail list? email:    Tony@mtcoorooraendurancechallenge.com

Some of the participants after the 2016 event. Happy bunch, happy day.