Sri Chinmoy Winter Wynnum Seaside Run

Who are you registering? Choose one Yourself

Team name   First name   Last name   Email address   Age on event date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 Gender -- Male Female   Phone #   2.5km, 10km & 21km Choose one 2.5km 5km 10km 21km   Category Choose one Under 12 Under 16 Under 8 Choose one Female 50-59 Female 60-69 Female 70-79 Female 80+ Female U50 Male 50-59 Male 60-69 Male 70-79 Male 80+ Male U50 Choose one Female 50-59 Female 60-69 Female 70-79 Female 80+ Female U50 Male 50-59 Male 60-69 Male 70-79 Male 80+ Male U50 Choose one Female 50-59 Female 60-69 Female 70-79 Female 80+ Female U50 Male 50-59 Male 60-69 Male 70-79 Male 80+ Male U50   Event entry fee TBD

Please review the waiver provided by the event organizer and click the check box below to accept it. Print waiver In consideration of the acceptance of my entry, I do hereby, for myself, my executors and assignees, release and forever discharge the organisers and their respective officers, agents, representatives and/or assignees and supporters from all claims of damages, demands, actions whatsoever in any manner arising or growing out of my participation in this event. I attest and verify that I have full knowledge of the risks involved in participating and that I have no physical or mental condition which has the potential to put myself or any other person at risk and that I am physically fit and sufficiently trained to participate in this event. I have read and understood the rules and conditions for the event and agree to abide by them and to accept any decisions made under them. I hereby consent to receive any medical treatment which may be deemed advisable during the event. I agree to have my photographic image used in future event publications and websites by the event organisers. I acknowledge that the organisers reserve the right to change the advertised starting time, course or composition of the event at any time. In the instance that I am under the age of 18 years at the time of registration I confirm that I have obtained permission from my parent / guardian to participate in the event and that they have read and agreed to all the conditions outlined in this waiver. I accept the terms of the waiver