Entry Form

Name

First

Last

Phone


Email


Address

Street Address


Suburb


City

Choose your category


Select course option
Half Ironman
Short Course

Relay Team Details (if applicable)

Team Name


Swimmer's name


Swimmer's email


Cyclist's name


Cyclist's email


Runner's name


Runner's email



NOTE By continuing, I/we agree to compete at my/our own risk, and waiver all claims against the event organiser, sponsors and landowners. I/we accept that the information gathered from this entry form will be used to administer the event and provide future information from those associated with the event. I/we accept that we have been provided with a full course description and if at any time we find course markings non-descriptive or unclear, I/we will be able to make our own way along the course described in our pre race information.

The $99 and $50 special offered in April 2014 is non-refundable, but is transferable to the Auckland Half 2016 or any other MJ Event, again provided you advise us in writing prior to race day.

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