Event Pre-registration

WA 160km ITT Championships
14 Apr 2019

Optional distances: 46km or 92km

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/ Request:

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, usually on public roads with other traffic where I 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.

The start list will be posted on this website four days before the event.

Kati Tonkin 92km
Ian Gollagher 92km
Daniel Sly 160km
Alexandra Meek 92km
Glen Gaspar 46km
Ann Maree O'Callaghan 92km
Suzie Baxter-Green 92km
Simon Billeau 160km
Adrian Berthelsen 160km
Rob Wormald 46km
Guy Pritchard 46km
Gregor McNab 160km
Christian Trulsson 160km
Ruth Chang 92km
Col Tierney 160km
marcel weijers 92km
Michael Moohan 160km
Matt Martins 46km
Fiona Whelan 160km
Lise Ashton 92km
Rob Newton 92km
Anthony Preston 92km
Anna Heitz 160km
Michael Verheyen 92km
Steven McKiernan 92km
Darren Wright 160km
Camilla Swenson 92km
Phillip Deisel 160km
Alison Ramm 160km
Adam Scott 46km
Andrew Candy 46km
James Allen 160km
Tom Barratt 160km
Wanda Jansen 160km
Steve Oates 92km
Rance de grussa 92km
Stu Helm 46km
Paul van der Walt 160km