2012 Australian Interschools MTB Championships Entry Form


To register for this event please fill in the online registration form below. Bold fields are mandatory.

Personal Details


If you do not enter a MTBA licence number an additional $20 will be added to the entry fees for a MTBA Day License for this event.

Contact Details

Your Schools Details

You do not need the schools permission to compete but we would prefer to have their details

Which Division Are You Competing In?

Division 1 - Years 11 & 12
Division 2 - Years 9 & 10
Division 3 - Years 7 & 8
Division 1 - Years 11 & 12
Division 2 - Years 9 & 10
Division 3 - Years 7 & 8

Which Events are you competing in?

Cross Country
Dual Compressor
Down Hill

Are you entering as part of a team?

We cannot guarantee that you will be part of your nominated team but we'll do our best.

Payment Details









Terms and Conditions

 

Competitor Declaration

Representations and Warranties – I Represent and Warrant as follows in the License as follows 1) I am in good physical condition and have no disability, impairment or ailment that will prevent me from engaging in any one of the above events, or that will be detrimental to my health, safety, comfort or physical condition of others while participating in the event or while at or near the event.

Release and Indemnity

I hereby release and forever discharge each of the Licensors and other entities, including Jane Corben Enterprises Pty Ltd, Kosciusko Thredbo Pty Ltd, National Parks and Wildlife Service, their officers, directors, employees, agents, and contractors, from any and all claims, suits, demands, expenses, costs, actions, and proceedings of any nature whatsoever, which I, my executors or administrators or any other person, has or might assert against any of them arising from, in relation to any incident to or by virtue of any injury, loss or damage suffered or sustained by me in connection with my participation in the Event or at any time when I am near the Event. I hereby indemnify and hold harmless and shall keep indemnified and held harmless, each of the licensors, its officers, directors, employees, agents and contractors, from any and all claims suits demands, expenses, costs, actions and proceedings of any nature whatsoever arising from, in relation to or by virtue of 1) any injury, loss or damage sustained by me. 2) Any injury, loss or damage suffered by any other person as a result of any act, omission, neglect or default on my part, in connection with my participation in the event or at any time when I am near the Event.

I have carefully read this entry form, I acknowledge and understand the Acknowledgement, Release and Indemnity and agree to abide by all the rules and directions of all race officials on the day.
You will be sent the above Waivers to be printed, signed by you and brought to the event.

Please type in your full name


If under 18 please have your parent or guardian type in their full name