Fun Run Online Entry Form

2010 Fun Run - 2nd Couch Potato Challenge

ENTRY FORM - read this then scroll down to the entry form itself

Entry Fee

Adults and children 4yrs and older: $10.00 (for either 3.5km or 7km events)

Children 3yrs and younger: FREE

Entries Close

FRIDAY 5^th MARCH. We need time to print the tshirts and regretfully we cannot offer them to those who enter after this deadline.

Payment

If you choose to enter online (use the form below) you may also pay your entry fee directly into the PTFA Bank Account (ASB 12 3008 0012296 00) via your own bank site or via another form of direct payment; please use your family/team name as a reference so we can match payment to your entry and then you need do nothing more. If you complete a “paper” form then please submit that directly to the School Office (not your child’s classroom) with your cheque or cash payment.

Fun Run Entry Form

Family/Team Details
*Name :
*Phone number:
*email address:
Entrants: Children (4 years and over) and Adults [one line per entrant]
*1. Full name:
*1. Run distance:
*1. Age:
*1. Shirt size (child):
2. Full name:
2. Run distance:
2. Age:
2. Shirt size (child):
3. Full name:
3. Run distance:
3. Age:
3. Shirt size (child):
4. Full name:
4. Run distance:
4. Age:
4. Shirt size (child):
5. Full name:
5. Run distance:
5. Age:
5. Shirt size (child):
6. Full name:
6. Run distance:
6. Age:
6. Shirt size (child):
7. Full name:
7. Run distance:
7. Age:
7. Shirt size (child):
8. Full name:
8. Run distance:
8. Age:
8. Shirt size (child):
9. Full name:
9. Run distance:
9. Age:
9. Shirt size (child):
10. Full name:
10. Run distance:
10. Age:
10. Shirt size (child):
Cost
*Total number of participants:
*x $10.00 = $:
Declaration/Disclaimer. Neither the organisers, the sponsors nor any party associated with this event shall have any responsibility for any liability, financially or otherwise, which might arise whether or not by negligence, from any direct or indirect loss, injury or death which might be sustained by us or any party directly or indirectly associated with us, from our intended or actual participation in the event and its related activities. Tick the box below to accept these terms and conditions.
Acceptance of Declatation/Disclaimer: