Event Pre-registration

Winter in Serpentine
10 Sep 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.

Ryan Rintala
Greg Swensen
Joshua Lindsay
Campbell McDowell
Leonie Fancourt
Michael Claffey
Nick Baldwin
Dave Morris Morris
Ryan Baugh
Steff Van Amerongen
Neil McDougall
Chris Roberts
Richard Williams
Tom Barratt
Denny Teede
Troy Coulthard
John Healy
Andrew White
Marc sim
Jason Walsh
Kim Van amerongen
David Equid
Scott Davis
John Sonego
Mark Taylor
Sean Ralph
Justin Ghosh
Janice Graham
Andrew Candy
Ian Turner
Michael McDonnell
David Thompson
marcel weijers
Romney Phillips
Allister Caird
Stephen Morahan
Michael Brammer
Javier Vasquez
Summer Roberts
Hayden Long
Jo Blacker
Phil Gyford
Chris glasby
Christian Trulsson
Karl McIntyre
ian skidmore
Alex Cairnduff
Greg Perry
Eamon Dorricott
Don Dragicevich
Kate Luckin
Peter Neuzerling
Michael Jensen
Chris Gaskell
Jon O'Brien
Travis George
Darren Wright
Adam Scott
Megan Gammie
Rick Churchill
Claudia Dohr
Andrew Candy
John Andrews