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Your Privacy: Please note your registration details are collected only to facilitate your registration in the Te Kauwhata Village Charity Cycle Challenge. They will not be shared with any third party.

Select whether this will be an individual or team registration to load the correct form. Only one registration per form.

Individual     Secondary School Team

Remittance

Late entry fee of $10 applies to registrations made after Monday March 5th, 2018

103km $50
60km $50
30km $25
Secondary School Team $100
Late Entry Fee $10 after 05/03/2018
TOTAL DUE



All prices are in NZD.

Please select how you will pay.

Note: If you select the Credit Card option then once you submit this form you will be redirected to our banks secure payments site for processing. After payment please wait to be redirected back to this site for confirmation.

For other payment options we will display payment instructions once the form is submitted.

In each case a confirmation email will be sent confirming your payment details.



Waiver and Release Statement.
In consideration of the acceptance of my entry, I hereby waiver all claims of liability of any nature whatsoever, and I will not hold the event organisers, oficials, sponsors or any other person involved with the event liable for any loss, damage or injury to person or equipment (including negligence) incurred during the event. I acknowledge that the event is held on open public roads and I must obey the road rules. I agree to comply with the rules of the event and I am competing entirely at my own risk. The return of the computerised timing transponder is my responsibility and if I fail to return the timing transponder I agree to pay $50.00. Once payment has been completed you cannot cancel your registration and no refunds will be available. The Race Organiser reserves the right to shorten the length of the 103km route for any rider they feel may not complete the course distance in a reasonable time.

I have read and understand the above statement.