Entry Form

Wanaka Skyline Challenge and Wanaka Hillend Gutbuster

Date: Saturday 20th February 2010 - Entries Close: Friday 19 February 2010

You can enter online and pay securely using your Credit Card/Paypal account using the form below. Alternatively you can download an Entry Form and pay by Cheque. Click here to download Entry Form

My Details

Name:	A value is required.	Address:
E-mail:	A value is required.	Town / City:
Category:	Please select an item.	Phone:

Emergency Contact

Name:
Phone:

Medical Conditions

Medical Conditions:

Waiver

PLEASE TICK I declare that I have fully read and understand the rules and conditions of the Wanaka Skyline Challenge. I attest that I am fully aware of the risks and hazards involved in participating in this event and I understand that participation in the event is at my/our own risk. In consideration of the acceptance of my entry fee, I do hereby on behalf of my heirs, executors, administrators and assignees release and forever discharge the sponsors, landowners and any and all persons involved in the conduct of the Wanaka Skyline Challenge from any and all liability whatsoever or claims of damages, actions or inaction what so ever (including negligence) in any manner arising out of my participation in the Wanaka Skyline Challenge. I agree that the Highland Events and any sponsor of this event may use information contained in this form for purposes connected with the events associated with Highland Events Ltd., and to provide details of other products, services and events to me from time to time. I understand that I have rights under the Privacy Act 1993 to access and correct any information held about me. All entry fees are non refundable.