Rogaine and Dogaine Entry Form


Team Members

Team Captain
Team Member 2
Team Member 3
Team Member 4
Emergency Contact / Pre-existing Medical Conditions


Adults  (per person) - $25 (1.5hr) / $35 (2.5hr)

Students - $5 discount

Children (12yrs and under) - Rogaine free, but will need to pay $7.50 for a lift ticket 1.5hr / $12.50 for a lift ticket 2.5hr.

Account Name: Chris Forne, Account Number: 06-0665-0150257-00. Use as Reference - Team Name, Particulars - Dogaine, Code - Surname


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 Please note: Team captain must ensure this indemnity has been read and understood by all team members.

Note: A parent or guardian must sign the indemnity form on behalf of a competitor under the age of 18.