IMPORTANT

PLEASE READ THE EVENT INFORMATION CAREFULLY BEFORE FILLING IN THE REGISTRATION FORM.
DEPOSITS ARE NON-REFUNDABLE UNLESS BORDERS ARE CLOSED DUE TO COVID-19 RESTRICTIONS

Registration Form

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tasmania Circumnavigation - registration & deposit

Please fill in the form below to register and secure your spot.

All tour options require a $250 deposit per person

(The minimum age is 16; entrants under 18 must be accompanied by a Parent/Guardian)

First Name(*)

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Last Name(*)

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Email(*)

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Mobile Number(*)

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Closer to the date, we will create a WhatsApp group, are you ok we add your mobile number?(*)

Yes No

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What Age Group are you in?(*)

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PARENT/GUARDIAN

Entrants Under 18 years of Age must enter their Parent/Guardian's details below
If you are Under 18, you must be accompanied by a Parent/Guardian who must also register for the same event and ride with you.

Parent/Guardian - First Name(*)

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Parent/Guardian - Second Name(*)

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Parent/Guardian - Email(*)

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Booking & billing Details

Number & Street(*)

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Suburb(*)

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State(*)

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Post Code(*)

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Country(*)

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FUNDRAISING

Fundrasing is not obligatory, but we do offer a price discount for those who do.

If you raise $500 or more you will receive a $500 discount.

If you opt in, you will receive your own dedicated Personal Fundraising page

You can share this with your family & friends

You can see our Fundraising page here: https://tasmaniacircumnavigation.com.au/donate

Would you like to Fundraise?(*)

Yes No

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Which charity would you like to raise money for?(*)

StGiles Fortem

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What would you like your Profile Name to be on your Fundraising page?

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If left blank we will use your First and Last Name

Please upload a Profile Photo for your Fundrasing page

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Files must be JPEG, JPG or PNG files No larger than 1MB

What is your Fundraising Target?(*)

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Important: if you raise $500 or more you will get a discount on your Entry Fee

ride options

Please choose the route you wish to participate in

Select Route

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Accommodation

Please read the following information on Accommodation Options

Accommodation options are limited on the following days:

East Coast: Derby (sharing may be required in premium style bunk rooms); Four Mile Creek (sharing may be required in 2-Bedroom homes)
West Coast: Gowrie Park (sharing may be required in bunk style rooms or cabins)

What type of Accommodation would you like?(*)

Single

Double

Twin

Triple

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almost done

If you have any questions, comments or suggestions please include them here

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Final Step - payment

Please proceed and pay your AUD$250 deposit

Please choose your preferred payment method

EFT (Electronic Funds Transfer)

Credit Card (via Pin Payments)

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Terms & Conditions(*)

Yes, I agree with the Terms & Conditions of the event

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CONTACT US

Entry Form

IMPORTANT

PLEASE READ THE EVENT INFORMATION CAREFULLY BEFORE FILLING IN THE REGISTRATION FORM.
DEPOSITS ARE NON-REFUNDABLE UNLESS BORDERS ARE CLOSED DUE TO COVID-19 RESTRICTIONS

Registration Form

tasmania Circumnavigation - registration & deposit

Booking & billing Details

FUNDRAISING

ride options

Accommodation

almost done

Final Step - payment

a 100% Charity Ride by:

rider info

event info

CONTACT US

Entry Form

IMPORTANT

PLEASE READ THE EVENT INFORMATION CAREFULLY BEFORE FILLING IN THE REGISTRATION FORM. DEPOSITS ARE NON-REFUNDABLE UNLESS BORDERS ARE CLOSED DUE TO COVID-19 RESTRICTIONS

Registration Form

tasmania Circumnavigation - registration & deposit

Booking & billing Details

FUNDRAISING

ride options

Accommodation

almost done

Final Step - payment

a 100% Charity Ride by:

rider info

event info

PLEASE READ THE EVENT INFORMATION CAREFULLY BEFORE FILLING IN THE REGISTRATION FORM.
DEPOSITS ARE NON-REFUNDABLE UNLESS BORDERS ARE CLOSED DUE TO COVID-19 RESTRICTIONS