Snow Rogaine Entry Form

Duration
Category

Team Members

Team Captain
Team Member 2
Team Member 3
Team Member 4
Team Member 5
Team Member 6

Emergency Contact

Payment

4 Hour Rogaine

Adults - $50

Junior (11-18) - $20

Child (10 and under) - Free

Family (2 Adults Max, 1 or more under 19) - $80

2 Hour Rogaine

Adults - $30

Junior (11-18) - $12

Child (10 and under) - Free

Family (2 Adults Max, 1 or more under 19) - $50

Payment Method

Please make payment to Christopher Forne, 06-0665-0150257-00, with particulars Snowgaine and your team name as Reference.

Indemnity

We hereby acknowledge that the New Zealand Rogaining Association, the Event Organisers, and Landowners, 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.