NOVICE ENTRY

Event Time:

April 18th-19th, 9:00am – 5:00pm

Event Address:

ZeroW Southside

(147 Lumley St, Upper Mount Gravatt QLD 4122)

ENTRY FEE: $110

Event Time:

April 18th-19th, 9:00am – 5:00pm

Event Address: ZeroW Southside

(147 Lumley St, Upper Mount Gravatt QLD 4122)

ENTRY FEE: $110

First Name *

Last Name *

Email *

Phone *

Gender *

Age at time of competition *

Next of kin name *

Next of kin phone number *

I agree to the Terms and Conditions of Participant Waiver and Release of Liability *

By checking this box I agree to the terms and conditions of Participant Waiver and Release of Liability

View Participant Waiver and Release of Liability

I confirm that I am over the age of 18 and that all information provided is accurate. If the lifter is under 18, I confirm that I am the parent or guardian and will be present for the duration of the event while my minor is participating. *

By checking this box I confirm that I am over the age of 18 and that all information provided is accurate. If the lifter is under 18, I confirm that I am the parent or guardian and will be present for the duration of the event while my minor is participating.

I understand that this is a no refund event *

I understand that this is a no refund event.

Novice Entry *

Price: $110.00

PAYMENT INFO *

Card

Name on Card