90 Mile Beach Run · Far North · New Zealand

2010

Saturday 27th March

Home The Legend Race Details Waka Ama Getting Here Accommodation Registration Enquiries
 


Individual Entry Form                 Relay Entry Form >>

Please complete the entry form below, print, sign and send, along with the Entry Fee to:
TE HOUTAEWA CHALLENGE, PO BOX 654, KAITAIA, NEW ZEALAND

enter  online

EVENTS ENTERED

Ultra Marathon  Marathon  Half Marathon-Run

Half Marathon-Walk  6 km Walk

SURNAME

FIRST NAME

POSTAL ADDRESS

SUBURB

CITY

COUNTRY

TELEPHONE

EMAIL

DATE OF BIRTH

Male    Female

OCCUPATION

ATHLETICS CLUB

PREVIOUS BEST TIME

PREDICTED TIME

FIRST ATTEMPT AT DISTANCE ENTERED

FULL EVENTS COMPLETED

Shirt size tick one only

Small   Medium  Large  X-Large  XX-Large       

I agree to comply with the rules, regulations and event instructions of the Te Houtaewa Challenge, 90 Mile Beach Run

SIGNED


Post entries along with your entry fee to: 
TE HOUTAEWA CHALLENGE, PO BOX 654, KAITAIA, NEW ZEALAND


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