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NOVICE ENTRY
NOVICE ENTRY
Event Time:
July 12th, 9:00am – 5:00pm
Event Address:
ZeroW Brisbane
(203 Lutwyche Road, Windsor)
ENTRY FEE: $110
Event Time:
July 12th,
9:00am – 5:00pm
Event Address:
ZeroW Brisbane
(203 Lutwyche Road, Windsor)
ENTRY FEE: $110
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
First Name
*
Last Name
*
Email
*
Phone
*
Gender
*
Male
Female
Age at time of competition
*
Next of kin name
*
Next of kin phone number
*
I agree to the Terms and Conditions of Participant Waiver and Release of Liability
*
By checking this box I agree to the terms and conditions of Participant Waiver and Release of Liability
View Participant Waiver and Release of Liability
I confirm that I am over the age of 18 and that all information provided is accurate. If the lifter is under 18, I confirm that I am the parent or guardian and will be present for the duration of the event while my minor is participating.
*
By checking this box I confirm that I am over the age of 18 and that all information provided is accurate. If the lifter is under 18, I confirm that I am the parent or guardian and will be present for the duration of the event while my minor is participating.
I understand that this is a no refund event
*
I understand that this is a no refund event.
Novice Entry
*
Price:
$110.00
Square
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Card
Name on Card
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