MUDGEE MARATHON WEEKEND
22nd - 23rd AUGUST 2009
featuring
HALF MARATHON
5K FUN RUN / WALK
  10K FUN RUN

If you have already submitted an online entry and now, only want to make a payment, do not fill this form again. Click here to go directly to the payment page.

Event: Marathon $65 + $15 late fee   Half Marathon $45 + $15 late fee  
10k Fun Run $20    5k Fun Run/Walk (Adult) $12    5k Fun Run/Walk (under12/ 60+) $8
Sex: Male         Female
Division: 18-29    30-39    40-49    50-59    60+
under12* 12-15*   16-19* ( * Fun Run only)
Birthdate:   dd/mm/yyyy
Age on day of race:
Email:  
First Name:
Surname:
Postal Address:
Surburb
State:
Postcode:
Day Phone:
Mobile:
Mudgee Marathon W/end
Competitors' T-shirt Size:
Marathon & Half marathon entrants receive one free t-shirt. For additional orders, see below.		 Late entrants who complete the Marathon or Half Marathon will receive a Finishers Medal however a Competitors T-shirt is subject to availability and sizing is not guaranteed. 
T-SHIRT ORDERS NOW CLOSED. Please email entries@mudgeetriclub.hwy.com.au with your T-shirt size and we will endeavour to keep one aside for you. This is subject to availability & sizing and there are no guarantees. (Marathon/Half entrants ONLY. NOT FunRunners)
NB: Limited stock will be available for sale on the day.
5km Fun Run
Team Name:
 Teams of 3. 5KM FUNRUN only.

I agree to compete in this event on the following basis. Read terms.

DECLARATION By Parent or Guardian if under 18: As Parent or Guardian of the Competitor, I agree to the above for myself and on behalf of my child. I indemnify and will keep indemnified all people associated with the conduct of the event on the following terms. Read terms.

 

ALL ENTRANTS, please type I AGREE to accept these terms and conditions.

 

TOTAL PAYMENT TO BE MADE:
Payment must tally with the events nominated as above.

 
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NB: If you have already submitted an online entry and now, only want to make a payment, do not fill this form again. Click here to go directly to the payment page.

 
    >> Clicking the SUBMIT button will submit your entry. Please do not submit multiple entries. If there's an error you need corrected, please email entries@mudgeetriclub.hwy.com.au

If you do not wish to pay via PayPal, DO NOT SUBMIT THIS FORM. Please download the PDF entry form, attach payment and mail it to:
Mudgee Triathlon Club
PO Box 802, Mudgee NSW 2850.