Summer Rogaine Series Entry Form

Category
Duration

Team Members

Team Captain
Team Member 2
Team Member 3
Team Member 4
Emergency Contact

Payment

Adults 1hr $15 / 2hr $20, Students $10, Children (12yrs and under) free. Account Name: Chris Forne, Account Number: 06-0665-0150257-00. Use as Reference - Team Name, Particulars - Rogaine #3, Code - Surname

Indemnity

We hereby acknowledge that the New Zealand Rogaining Association, the Event Organisers, and the owners of the land used for this event, accept no liability for any loss, damage or injury to ourselves (including vehicles at the event venue) resulting from our participation in this event. We enter this event at our own risk and acknowledge that there may be risks associated with the sport of Rogaining. We understand the safety requirements set out by the organisers and agree to abide by the New Zealand Rogaining Association Code of Conduct as on the website www.rogaine.org.nz. Please note: Team captain must ensure this indemnity has been read and understood by all team members.