|
Marble Mountain Challenge Sunday 7 November 2010
The Ultimate Takaka Hill Climb Time Trial (15km approx) Sign
on Riwaka Recreation 9.15 - 9.45am First Rider Away: 10.00am
|
|
|
|
|
|
Entries &
enquiries to: Averil West Cycling Nelson PO Box
269 NELSON Ph (03) 548 3655 Email:
avewest@clear.net.nz |
|
Entry Fee: $15.00
|
|
|
|
|
|
|
|
|
Trophies:
Fastest
Man
Fastest
Woman
Most Improved since
2009. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ENTRY FORM
|
|
|
|
|
DISCLAIMER: I agree to ride in the Marble Mountain
Challenge entirely at my own risk and will hold no other person or
organisation responsible for any outcome as a result of my
participation. I understand the road will be open to traffic at all
times and that road rules apply at all times. I also state that my
bicycle is in a safe and roadworthy condition and that I will obey all
road rules and directions of officials during my
ride. |
|
|
Name:
Address:
Email:
Phone:
|
__________________________________________Date of
Birth:__________
________________________________________________
________________________________________________
________________________________________________
________________________ Estimated Time:_________
M/F Signed:____________________
|
|
|
|
|
ENTRY FEE
|
|
|
|
|
|
|
|
$15
_____________ Enclosed
Please make cheques payable
to Cycling Nelson
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|