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Entry Form
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Race Category (please tick one)
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[ ] Sheep Wash Fun Ride
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8 yrs and up
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8 km
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$10.00*#
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[ ] Etal Stream Recreational Ride
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min age 10
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16 km
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$20.00
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[ ] The Gowan Hill Classic
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Open
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25 km
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$30.00
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[ ] The Gowan Hill Classic
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Veteran (40+)
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25 km
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$30.00
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[ ] The Gowan Hill Ultimate Challenge
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Open
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48 km
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$50.00
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[ ] The Gowan Hill Ultimate Challenge
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Veteran
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48 km
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$50.00
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Run/Walk Race Category
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[ ] The Mad River Road Recreational Walk
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8 yrs and up
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6km
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$10.00*
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[ ] The Little Spur Run
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Open
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17km
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$25.00
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[ ] The Little Spur run
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Veteran (40+)
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17km
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$25.00
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[ ] Late Fee (after Sun 25th March - both categories)
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$10.00*
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Name:
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____________________________
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Gender:
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[ ] Male
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[ ] Female
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Date of Birth:
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____________________________
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Address:
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_________________________________________________
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______________________________________
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Email Address:
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_________________________________________________
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Phone:
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________________________________
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Cell Phone:
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________________________________
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* Early entries for the 6km Recreational Walk and the 8 km Fun Ride are encouraged.
However entries after Sunday 25th March, including on the day, will not be subject to the
late fee of $ 10.00. Entries received after Sunday 25th March will not be eligible for the
included BBQ.
# Parents and Supporters are welcome to ride the Sheep Wash Fun Ride with their children.
There will be no
Waiver: I have read and agree to the terms and conditions of entering this event, as displayed on the Information Page of the website:
_________________________(signed) ……./……/20....
Payment Options:
- For Internet Banking: Account Number 020944 : 0018769 : 00 (BNZ, Winton)
Please use surname in Reference and Event Initials in Details,
e.g. GHUOM (Gowan Hill Ultimate Open Male) or GHCVF (Gowan Hill Classic Vet. Female)
If using this method of payment, please email the details in the box above to info@gowanhillclassic.co.nz
- If paying by cheque, please return this page with your payment, by Sunday 25th March to
Gowan Hill Classic, Lions Club of Ohai / Nightcaps, P.O. Box 6, NIGHTCAPS.
- Online Registrations are also available here (fees apply).
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