First Name (required)

Last Name (required)

Your Email (required)

School/Group/Corporate Team

Participating In:

Gender

Date of Birth (yyyy-mm-dd)

Age on Race Day

Address

Nationality

Phone

Shirt Size

Emergency Contact Information

First Name

Last Name

Relationship

Phone (H)

Phone (C)

Waiver: I know that walking on the road is a potentially hazardous activity. I should not enter unless I am medically able and properly trained. I assume all risks associated with walking this event. Having read this waiver and knowing these facts and in consideration of your accepting my registration, I, for myself, and anyone entitled to act on my behalf, waive and release the organisers, volunteers, sponsors and supporters, their representatives and successors, for all claims or liabilities of any kind arising out of my participation in this event.

I Accept

Registration Fees

5K Walk/Run
Early registration:
March 2 – March 17 – $20.00
Late registration:
March 18 – April 17 – $25.00

Timed Runners
Early registration:
March 2 – March 17 – $25.00
Late registration:
March 18 – April 17 – $30.00

RACE BEGINS IN
18Days 08Hours 15Minutes 18Seconds