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1998 Brisbane River Run - Entry Form
Brisbane River Run - Official Entry Form
DATE: Sunday, 24th May 1998
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________________________

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