Event Pre-registration

Serpentine 40
26 Nov 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.

Tom Barratt
Manuel Rivera
Merrill Lombard
Christophe Owens
Mick Bowden
Patrick Saccani-Williams
Mick Bowden
Paul Dinneen
Andrew Bartucciotto
Shawn Stehbens
Lesley Burch
megan gammie
Ian Gollagher
Michael Moohan
Jo Blacker
Kevin Hart
Thomas Bruins
Tom McCracken
Michael Claffey
Hart
Rebecca Mackey
Sean Mahony
Paul Williams
Paul Cagulada
Dave Morris
Col Tierney
David Thompson
Paul van der Walt
Phillip Deisel
Justin Ghosh
Neil McDougall
Reece Tucknott
Sam Hill
Chris Roberts
Sharon Sharman
Joel Harrison
Bruce Rollerson
Rodrigo Mejias
Lorraine MacLennan
Jeff Usher
Kim Van amerongen
Adrian Pahl
Stuart T Murray
Carle Green
Peter Caldwell
Karl Mcintyre
Timothy Harvey
Matt harvey
Jerard Ghossein
Andrew White
Shannon Miraglia
Tim Berryman
Gavin Chester
Ian Turner
ian skidmore
Aaron Locke
Matthew MacPherson
mathew maiolo
John Healy
Troy Coulthard
Gino D'Orazio
Steve Oates
Matt Martins
Peter Escott
Dylan White
Dylan
Carlos De Oliveira
Andree Carr
Sabine Bird
Denny Teede
James Martin
MIChelle McLintock
Lennon McLintock
Michael Brammer
Anders Liveroed
David Equid
Alex Cairnduff
Phil Gyford
Peter Neuzerling
Rick Churchill
Louise Mofflin
Craig James
Paul Borrett
David Nangle
Jonathon Considine
Don Dragicevich
Luba Kovalenko
Aron Barclay
Alison Ramm
Steven McKiernan
Hayden Long
Paul van der Walt
Sally Churchill
Andrew Candy
Travis George