Registration 2019

Date: January 22, 23, 24
Venue: Gosch’s Paddock – behind AAMI Park on Olympic Boulevard
Time: 1pm – 5pm
Registration: 12:00pm

Participant's Full Name*
First Last
Date of Birth*
Date Format: MM slash DD slash YYYY
Parent/Guardian's Full Name
First Last
Phone
Parent/Guardian;s Email*
Please list any participant allergies/illnesses below*
If there are none, list as N/A
I confirm that the Parent/Guardian of the participant has read the Terms and Conditions before submitting the form*
- I accept the Terms and Conditions of participation