Dudley Park Rangiora Canterbury

2012 Series dates and information here by Feb 1st
     
Online Individual Entry - Internet Banking

Which event (s) are you entering?  
Please tick the appropriate boxes (If you tick series you are entering for all three events and eligible for a series discount and series prizes please see Entry Fees information below)
 
Series:

Event 1:

Event 2:

Event 3:
   

 6/11/11

  

4/12/11

  

29/1/12

  
       

Individual Entry Details
First Name * Surname *
Address * Suburb *
City/Town * Email *
Phone Day * Phone   
Evening *
Mob Phone :
Occupation:   
 

 

Event Information 

Which category are you entering? *                                                                                                          

Your age group (age as at 6/11/11) *                                                                                                         
 

Medical Conditions
Medical or physical conditions from which I suffer that may affect my performance or be relevant if medical treatment is needed:
Questions 
1. Where did you hear about the PhysioMed Women’s Series?
 

Previous entrant

Friend

Flyer

Other

Details:

2. Do you belong to a gym or fitness studio and/or train with a Personal Trainer?

Gym/Fitness Studio:

Personal Trainer:


Terms and Conditions
Waiver:
1. I agree to abide by all event rules (as listed below), and directions issued by the event organisers.

2. I acknowledge that triathlon and duathlon involves the real risk of serious injury or even death from various causes including overexertion, equipment failure, dehydration, accidents with other competitors, spectators or road users, course or weather conditions and other causes.

3. I accept all risks necessarily flowing from my participation, which could result in loss of life or permanent injury. Accordingly, I release all persons or corporations associated directly or indirectly with the conduct of the event from all claims demands and proceedings arising out of my participation and I hereby indemnify them against all liability (including liability for their negligence and the negligence of others) for injury or damage arising out of or connected with my participation in this event. This release shall extend to and include Events with Purpose Ltd and their respective sponsors and volunteers including medical personnel appointed for the event, the owners, licensees, and occupiers of land upon which the event or any part of it is conducted, any statutory body or local authority having control over any land upon which the event or any part of it is conducted or which is involved directly or indirectly with the event in any manner whatsoever and promoters, sponsors and event organisers. This release and indemnity continues forever and binds my heirs, executors, personal representative and assigns.

4. I consent to receiving medical treatment that the event organisers think desirable during or after the event.

5. Safety precautions undertaken by the organisers (such as course supervision, event safety briefing, cycle and helmet safety checks) are a service to me and other competitors but are not a guarantee of safety.

6. I am fully responsible for the security of my personal possessions at the event.

7. I acknowledge that by reason of circumstances beyond the control of the event directors, it may become necessary or desirable to change the format of the event, and if that occurs, I consent to the changes and I agree that each and every one of the conditions herein set out shall apply to that changed event.

8. If the event is cancelled due to flood, cyclones, torrential rains or other “acts of God” conditions I understand that entry fee will not be refunded.

9. I consent to the event organisers using my name, image and likeness before during or after the event for event promotional broadcasting or reporting purposes to the media.

10. I agree to my name and contact details being included on the event database, from which I will receive from time to time event information, newsletters and sponsors information. Your name and contact details will not be passed onto any other person or organisation.

Event Rules:

1. All participants, even if you have pre-entered, must register by the day before the event and attend the event briefing on the day.

2. Participants must remember that the events are held on public roads. Caution and commonsense must be used at all times.

3. All road rules must be obeyed at all times. We do not have road closure for any part of the three events. Do not presume that you have any special privileges or right of way because you are participating in the events.

4. Crossing of the white centre line of the road at any stage during the cycle will result in automatic disqualification.

5. Marshals will be located on every turning corner and are there to assist you whenever possible; however they are not able to stop traffic. You must obey their instructions at all times.

6. Cycle helmets approved to Snell, ANSI or NZ safety standards must be worn. Your helmet must be securely fastened before you remove your bike from the bike stand and until it is returned to the bike stand at the end of the cycle leg.

7. Medical personnel have the right to remove any participant from the events should they consider it necessary.

8. Refunds will not be given on withdrawal from or non-starting of an event.

9. Any decision made by the event director is final.
 



Entry Fees

Series Entry: $132.00

Your entry must be received before the entry limit is reached, or if entries remain open, by 31st Oct 2011. You must remain in the same category for all three events to be eligible for the following: 1) a series certificate. 2) Each series competitor will be awarded points based on their finishing place in both category age group from each event. At the series prize giving medals will be awarded for the first three places in each age group. 3) Only series entrants are eligible for the major spot prizes including a  Road Bike from Fleet Cycles, and more. (There will also be category age group prizes and spot prizes at the conclusion of each of the three events for all participants.)

Note: The series entry may be paid in instalments.  Please contact Barb by email to arrange.

OR

Entry per event: $49.00

Limited Entries: Entry into each event will be closed when the event limit is reached. Any entries received after closing will be notified and entry fee returned. You will be notified on receipt of your entry. If entries remain open due to entry limit not being reached, then entries must be received by the closing dates below. Should entries be accepted after the dates below, and up to the day of each event, an additional fee of $10 per event will apply.

Closing Dates
If the event limit is not reached, entries and payment must be received before the following dates:

SERIES ENTRY: Monday 31st Oct 2011
Event 1: Monday 31st Oct 2011
Event 2: Monday 28th Nov 2011
Event 3: Monday 23rd Jan 2012

Payments

Payments by Direct Credit/Internet Banking can be made to:

Bank: BNZ
Branch: Armagh St
Account Name: Events With Purpose
Account Number: 02 0865 0022743 00

Please include your first and last name as a reference

Entry Confirmation: Will be sent via email once payment is received.

Refunds will not be given on non starting of events

Please enter the amount you are paying :  $                                                                                                           

 
   

Our training groups are for everyone of any fitness level - click on the details below to read each page for details about the groups...
 

Run/Walk
Thursday's
6pm
 

Swimming
Wednesday's
8pm  - 9pm
 and
Sunday's
5pm - 6pm
 

Cycling
Saturday's
8:30am 
 
 
Go to each page for weekly details