Event Pre-registration

Hilly Classic 3
10 Dec 2017


Please enter the check code as shown (all uppercase letters)
checkcodeimage :
Your Name*:

Your Date of Birth (d/m/yyyy)*:
Your Email Address*:

You will be notified of your start time by email
Contact Phone/ Distance Option/ Request:

Please don't use the return key here.
 

In consideration of the Australian Time Trials Association Inc. accepting my application to ride in this event, I agree that the association, its members and officials will not be held responsible for any personal injury or property damage or loss suffered by me. I also release the association from any liability for negligence.
I acknowledge that in time trials I will be riding at my own risk on public roads with other traffic and must obey traffic regulations. I further understand that time trialling is an endurance sport which requires a high degree of physical fitness and accept the risk that I may suffer illness or injury if I take part in such a sport while insufficiently fit or healthy.
I further agree to accept the association's rules for race conduct and understand where severe weather conditions or other hazardous situations occur before or during any time trial, the organisers have the right to cancel, postpone or otherwise modify the event and entry fees may not be refundable.
Finally, if I accept the loan of a timing transponder, I accept the responsibility for the return of the device in good condition at the end of the event and agree to reimburse ATTA for its loss or damage.

Sending this form implies the person named herein has agreed to the above conditions.


Listed below are the names of people who, using this form, have pre-registered for the above event.
The list does not include those who have submitted pre-registrations by other means.

Usually the start list will be posted four days before the event.

Jean Ferreira
Jean Ferreira
Adrian White
Tom Barratt
anthea
Michael FREIBERG
Aaron Locke
Michael Moohan
James Allen
Peter Neuzerling
Colin Rose
Luke Durbridge
NathalieLaurendeau
Jeff Usher
Kevin Hart
Sam Flockhart
Sean Mahony
Steff Van Amerongen
David Thompson
Ray Challen
Sue Challen
Karl Mcintyre
sash taylor
Don Dragicevich
Lorraine MacLennan
Marcus Goldberg
Darren Wright
Andrew White
scott davis
Ben O’Connor
Luba Kovalenko
Ryan Baugh
Rebecca Mackey
ian skidmore
Jenny Sammons
Thomas Bruins
Ian Turner
Christian Trulsson
Neil McDougall
Greg Swensen
JASON ROLFE
Alex Cairnduff
John Sonego
Ali Dyson
Aron Barclay
Romney Phillips
Darcy Pirotta
Andrew Candy
Travis George
Steven McKiernan