2019 Raid 100 Entry – Raid Adventures

Team Details

Team Name *

Category *

Mixed
Male
Female

Team Size *

2
4

Number of competitors on your team.

Class *

Colts
Open
Veteran

Colts: all members 25 and younger. Veteran: all members 45 and over.

The team's home town, state and country *

Team Facebook page or Blog site link

Competitor Details

Competitor 1 - Name *

Competitor 1 - Email *

Competitor 1 - Age on Race Day *

Competitor 2 - Name

Competitor 2 - Email

Competitor 2 - Age on Race Day

Competitor 3 - Name

Competitor 3- Email

Competitor 3 - Age on Race Day

Competitor 4 - Name

Competitor 4 - Email

Competitor 4 - Age on Race Day

Additional Information

How many team members will require a paddle and/or PFD to be provided? *

Paddles and PFDs must be booked separately after payment is made.

Will you take up the offer of the included pre- and post- race accommodation? *

Yes
No
Maybe

Note that teams are welcome to source their own accommodation if they are after more space/privacy/comfort.

Team emergency contact names and numbers *

Please provide appropriate names and phone numbers to act as an emergency contact for your team (as many as required).

Any special dietary requirements?

If you think your team qualifies for guaranteed pre-entry (that is, have a QRA/Raid volunteer credit, are an international team or an interstate Adventure1 team) please provide the details here.

Any additional comments or questions?

I acknowledge I have read and understood the Refunds, Changes and Cancellation Policy and Terms and Conditions as per the Resources page on the Raid Adventures website.

Captcha *

=