Form Test

Event Selection

Distances & Stages

Ultra long distance consists of – 18km paddle, 18km run, 45km MTB

Enduro medium distance consists of – 9km paddle, 11km run, 22.5km MTB

Taste & Junior short distance consists of – 2km paddle, 6km run, 12km MTB

Choose Taste for Adult Short Distance

Choose Junior for ages 8-17 years

Team, Pairs or Individual?

Are you competing solo, in pairs or in a team?

You need to select an item to continue

NEXT STEP

Entrant Details

Name

Last Name

Gender

Date of Birth

Click on "Month Year" section to toggle between months & years.

Organisation, Business or Club name

Phone

Email

Address line

City

State

Post Code

If yes, please provide details

Do you have a medical condition?

Have you competed in an Adventurethon event prior?

Are there any special circumstances you have to overcome to compete in this event?

Circumstance

What is your greatest sporting achievement?

You need to select an item to continue

NEXT STEP
return to previous step

Additional Info

This information is specific to the main entrant filling this form

Are you travelling to this event?

How many nights are you staying in the local area?

How many people will you be bringing along?

How did you find out about Adventurethon?

Word of mouth

Friend/Family

Social Media

Google

Radio

Newspaper

Magazine

Other

Please specify

You need to select an item to continue

NEXT STEP
return to previous step

Event Shirts

Event shirts are not included in your registration but you can pre-order yours online for $20. A limited number of shirts may be available at the event at a cost of $35.

Do you want to pre-order your event shirt?

Size

You need to select an item to continue

NEXT STEP
return to previous step

Individual Stages

Individual stage & distance

Choose between Ultra, Enduro, Taste or Junior. In other words: long distance, medium distance or short distance.

Ultra (long); Individual; All 3 stages

Ultra Category

Enduro Category

Taste Category

Junior Category

You need to select an item to continue

NEXT STEP
return to previous step

2ppl Stage & Distance

Pairs stage & distance

Choose between Ultra, Enduro, Taste or Junior: all 3 stages or paddle stage only. Options for long, medium and short distance.

Ultra; 3 Stage Category

Ultra; Paddle Category

Enduro; 3 Stage Category

Enduro; Paddle Category

Taste; 3 Stage Category

Taste; Paddle Category

Junior; 3 Stage Category

Junior; Paddle Category

Team Name

You need to select an item to continue

NEXT STEP
return to previous step

3ppl Stage & Distance

3ppl stage & distance

Choose between Ultra, Enduro, Taste or Junior: All 3 stages only. In other words: long distance, medium distance or short distance.

Ultra Category

Enduro Category

Taste Category

Junior Category

Team Name

You need to select an item to continue

NEXT STEP
return to previous step

Entrant 1 (of 2)

Name

Last Name

Gender

Date of Birth

Click on "Month Year" section to toggle between months & years.

Organisation, Business or Club name

Phone

Email

Address line

City

State

Post Code

Do you have a medical condition?

If yes, please provide details

Have you competed in an Adventurethon event prior?

Are there any special circumstances you have to overcome to compete in this event?

Circumstance

What is your greatest sporting achievement?

You need to select an item to continue

NEXT STEP
return to previous step

Entrant 2 (of 2)

Name

Last Name

Gender

Date of Birth

Click on "Month Year" section to toggle between months & years.

Organisation, Business or Club name

Phone

Email

Address line

City

State

Post Code

If yes, please provide details

Do you have a medical condition?

Have you competed in an Adventurethon event prior?

Are there any special circumstances you have to overcome to compete in this event?

Circumstance

What is your greatest sporting achievement?

You need to select an item to continue

NEXT STEP
return to previous step

Entrant 1 (of 3)

Name

Last Name

Gender

Date of Birth

Click on "Month Year" section to toggle between months & years.

Organisation, Business or Club name

Phone

Email

Address line

City

State

Post Code

If yes, please provide details

Do you have a medical condition?

Have you competed in an Adventurethon event prior?

Are there any special circumstances you have to overcome to compete in this event?

Circumstance

What is your greatest sporting achievement?

You need to select an item to continue

NEXT STEP
return to previous step

Entrant 2 (of 3)

Name

Last Name

Gender

Date of Birth

Organisation, Business or Club name

Phone

Email

Address

City

State

Post Code

If yes, please provide details

Do you have a medical condition?

Have you competed in an Adventurethon event prior?

Are there any special circumstances you have to overcome to compete in this event?

Circumstance

What is your greatest sporting achievement?

You need to select an item to continue

NEXT STEP
return to previous step

Entrant 3 (of 3)

Name

Last Name

Gender

Date of Birth

Click on "Month Year" section to toggle between months & years.

Organisation, Business or Club name

Phone

Email

Address line

City

State

Post Code

If yes, please provide details

Do you have a medical condition?

Have you competed in an Adventurethon event prior?

Are there any special circumstances you have to overcome to compete in this event?

Circumstance

What is your greatest sporting achievement?

You need to select an item to continue

NEXT STEP
return to previous step

Event Shirts (Team of 2)

Event shirts are not included in your registration but you can pre-order yours online for $20. A limited number of shirts may be available at the event at a cost of $35.

Do you want to pre-order your event shirt?

For how many Entrants?

Entrant 1 Size

Entrant 2 Size

You need to select an item to continue

NEXT STEP
return to previous step

Event Shirts (Team of 3)

Event shirts are not included in your registration but you can pre-order yours online for $20. A limited number of shirts may be available at the event at a cost of $35.

Do you want to pre-order your event shirt?

For how many Entrants?

Entrant 1 Size

Entrant 2 Size

Entrant 3 Size

You need to select an item to continue

NEXT STEP
return to previous step

Final step!

Your price

Event add-ons

Please select the following add-ons if you would like to book them now. If you want more information, head to the Clarence Valley event page and read the Logistics & Other section.

Would you like to pre-book your seat on the Bus? : $0

Do you have another registration to submit?

Summary

Description	Information	Quantity	Price
Discount :
Total :

I understand that submitting my registration online means I have read and agreed with Adventurethon's online Terms & Conditions. If you would like to view our online Terms & Conditions, Click Here.

I have read and accept the Terms & Conditions validating this form

Please rewrite the following text in the field

SUBMIT REGISTRATION return to previous step

Clarence Valley, NSW

Thank you for registering!

Event Selection

Entrant Details

Additional Info

Event Shirts

Individual Stages

2ppl Stage & Distance

3ppl Stage & Distance

Entrant 1 (of 2)

Entrant 2 (of 2)

Entrant 1 (of 3)

Entrant 2 (of 3)

Entrant 3 (of 3)

Event Shirts (Team of 2)

Event Shirts (Team of 3)

Final step!

Summary

Navigate

Register

Contact

Website created by