Event Pre-registration

The Gents
29 Oct 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.

Don McCracken
Mar sim
Jay Lindorff
Faye Dalglish-Jones
Dave Morris
Melissa Robinson
John Healy
Blake Turner
Paul Cagulada & Shaun Yang
Kirstie Moore
Dharlia Haines and Laura Hodges
Simon Bell & Emily Mascaro
Sam Flockhart/ Jen Matthies
Glenn French
Stephen McGee
Lucy Martin
Craig Beeching
Oliver Bleddyn
James Derrick
Andy Lawrence
Andrew White/Joe Battaglia
Doug Repacholi/James shapcot
Paul Prottey/Matt Tognini
Oli Stenning
Tyler Lindorff
Chris Roberts and Craig Pennell
Tyler Sujdovic / Marty Richardson
Kevin Hart
Matt Spencer
Lennon McLintock
Troy Coulthard / Phil Deisel
Aron Barclay / Andrew Matthews
Ross Clark/Chris Balde
A Mazurek / G Keane
Kathryn Whalley
Don Dragicevich
Josh Lindsay & Travis George
Sean Ralph & Matt Illingworth
Alison Dyson/Paul Van de Walt
Kim Van Amerongen
Luba Kovalenko
Lesley Burch / Shawn Stehbens
Martin Albrecht / Michael Vreeken
Belinda Evans / Brooke Colton
jerard ghossein
Jason Walsh / Matheos Venetis
Ben Madsen / Darren Shanahan
Darren Wright / Justin Nichols
Kevin McIlduff / Mel Robinson
scott davis
Shannon Arnott / Guy Pritchard
Carle Green & David Foot
Janice Graham and Sasha Taylor
John Clark
JASON ROLFE / DAN HAYES
Kevin Barlow / Ben King
Peter Neuzerling
Paul Borrett
Ross Wainwright
Alex Sammons
Alan Gibson
Rob Macpherson
Dylan White
David Equid & Thomas Bruins
Wes Gorman & Stuart Murray
Chris Gaskell & John Sonego
Dale Groves & Shaun Hodges
Alison Ramm & Anna Massey
Michael Claffey
ian skidmore
Karl Mcintyre & Adrian Berthelsen
Carlos De Oliveira / Meghan Thomas
sally and Rick Churchill
Christian Trulsson & Bruce Rollerson
Thierry maye - Peter Lundberg
Javier Vasquez
Derek Munro
Phil Gyford
Amanda Nabi
Michelle McLintock
Heiko Potzeldt
Louise McKay
Alex Cairnduff
Greg Crane
Sean Archibald
Adam Scott
Simon Ponsonby
Adam Hallsworth
Andrew Candy
John Andrews