Home - AUS | NZ | USA | HELP / FAQ / Contact | Calendar | Messages | News | Results | Articles | WebWatch | Clubs
  
This page last updated: Wednesday, 04-Jun-2003 09:07:19 EDT
The Cool Running (Australia) Logo River Run

1998 Brisbane River Run - Entry Form

Brisbane River Run - Official Entry Form

DATE: Sunday, 24th May 1998

River Run Home Page Race Information The Map!

Instructions: Print this form, complete & send with payment to: River City Events Pty Ltd., PO Box 6348, Upper Mt. Gravatt, QLD 4122. If paying by credit card entries can be faxed to 07.3349.5390


Last Name____________________________ First Name____________________ Initial_____Title_____

Street Address__________________________________ Suburb_________________ Country___________

Postcode________________ Home Phone(__)___________________ Work Phone(__)__________________

Date of birth (dd/mm/yy) ___/___/___    Age in yrs on May 24, 1998________    Sex M/F______

T-shirt Size    EVENT                             ChampionChip/Race Pack Pick-up Location
(tick one)      (tick one)                       (Please select one - avail. 18-23 May '98)

__Small         __Full Marathon 42.2km             __River City Events     __Run on Down
__Medium        __Half Marathon 21.1km             __Run Inn               __Intraining
__Large         __Mini Marathon Run/Walk 10km      __Strider Sports        __Toowoomba
__X Large       __Micro Marathon Run/Walk 5km      __Gold Coast            __Mooloolaba
__X X Large    Name of Club (if applic.)________   __Noosa      (Collection address will
               QAA Number_________                 be sent with entry Acknowledgement)

If you are 17 or under this part must be signed by your Parent or Guardian: I certify that I am the Parent/Guardian of _________________ who is _____ years of age and that he/she has my consent to run in this event, and I herby join the indemnity below: Signature (Parent/Guardian) _______________________ Date: _____

Declaration: 1. I, the undersigned, in consideration of and as a condition of acceptance of my entry in this event for myself, my heirs, executors and administrators, hereby waive all and any claim, right or course of action which I or they might other have for or arising out of loss of my life or injury, damage or loss of any description whatsoever which I may suffer or sustain in the course of or consequent upon my entry or participation in the said event. 2. This waiver, release and discharge shall be and operate separately in favour of all persons, corporations and bodies involved or otherwise engaged in promoting or staging the event and the servants, agents, representatives and officers or any of them, and includes but is not limited to River City Events Pty Ltd, and other related companies, Queensland Athletics associate sponsors, medical and para medical practitioners and personnel, police officer, the Brisbane City Council, and shall so operate whether or not the loss, injury or damage is attributable to the act or neglect of any one or more of them. 3. The information supplied on this form is true and correct. 4. I agree to abide and be bound by the race rules, as varied form time to time, governing the Event. 5.I consent to the publication and/or use in any form of media whatsoever of my name, image, voice, statements or otherwise, before, during or after the Event whether for advertising, promotion or otherwise, without payment of compensation. 6. I agree that should the Event be cancelled for any reason whatsoever my entry fees will not be refunded and no liability of any kind whatsoever will attach to the Organisers. 7. Chip timing for late entrants is not guaranteed. 8. I acknowledge that the race timing chip remains the property of River City Events Pty Ltd. I agree to pay $50 should I not return my chip to River City Events Pty Ltd.

Signed (by the entrant)_____________________________ Date____________

ENTRY FEE BEFORE MAY 6 1998                      Entry Fees
MARATHON including FREE Pasta Party      $59     FULL MARATHON                $_______
HALF MARATHON including FREE Pasta Party $49     HALF MARATHON                $_______
MINI MARATHON 10km RUN/WALK              $30     MINI MARATHON 10km RUN/WALK  $_______
MICRO MARATHON 5km RUN/WALK              $25     MICRO MARATHON 5km RUN/WALK  $_______
DISCOUNT ONLY FOR UNDER 18 DEDUCT $10            LATE ENTRY FEE AFTER 13 MAY  $_______
                                                 =====================================
ENTRY FEE AFTER MAY 6 1998                       LESS $10 DISCOUT IF UNDER 18 $_______
LATE ENTRY FEE ADD AN ADDITIONAL         $20     TOTAL ENTRY FEE              $_______
                                                 =====================================
MONSTER PASTA PARTY AT CAXTON ST                 MONSTER PASTA PARTY
MARATHON COMPETITORS                     N/C     ARE YOU ATTNDING Y/N_____
HALF MARATHON COMPETITORS                N/C     MARATHON/HALF MARATHON       N/C
10km/5km COMPETITORS/FRIENDS             $12     10k/5k COMPETITORS/FRIEDS No__  $____
                                                 =====================================
YOUR ENTRY FEE INCLUDES
T-SHIRT, MEDAL AND CERTIFICATE (FINISHERS ONLY)  TOTAL ENCLOSED               $_______
RACE RESULTS, SAMPLE BAG

Payment by: __Cheque __Money Order (payable to River City Events)

            __Bankcard    __Visa   __Mastercard   Signature__________________________

            Card Number__________________________ Expiry Date________________________

River Run Home Page Race Information Official Entry Form


Back to CoolRunning home page
Click here for CoolRunning Homepage

CoolRunning : The original and best aussie site for runners by runners