Entry Form

Entry Form

Please Note: the $40 late fee has been applied to the entries

Your Details

First Name *
Surname *
Address
Email *
Your age on 5th of May 2018 *
Mobile Phone / Home Number *
Your Gender*
Male
Female

Emergency Contacts

If you are attending the event by your self, enter your Emergency Contact Details into the Support Crew fields too.

Emergency Contact Name *
Support Crew Name *
Emergency Contact Phone *
Support Crew Phone *

Course Selection

Choose your course*
Paynesville
Metung
Craft Type*
Singles Craft
Doubles Craft
Team Craft (OC3 OC6)
Event Age Group*
Open (18+)
Open (40+)
Open (50+)
Open (60+)
Junior (15 to under 18)
Craft*
Surf Ski
Ocean Racing Ski
Sup's
Sea Kayak
Prone Paddle Board
Outrigger Canoe
Craft*
Surf Ski
Ocean Racing Ski
Sup's
Sea Kayak
Prone Paddle Board
Outrigger Canoe
Craft*
Surf Ski
Ocean Racing Ski
Sup's
Sea Kayak
Prone Paddle Board
Outrigger Canoe
Craft*
Surf Ski
Ocean Racing Ski
Sup's
Sea Kayak
Prone Paddle Board
Outrigger Canoe
Craft*
Surf Ski
Ocean Racing Ski
Sup's
Sea Kayak
Prone Paddle Board
Outrigger Canoe

Each paddler must enter separately or individually

Doubles partner name *
Your doubles team is*
All Male
All Female
Mixed
Event Age Group*
Open (18+)
Open (40+)
Open (50+)
Open (60+)
Junior (15 to under 18)
Craft*
Surf Ski
Ocean Racing Ski
Sea Kayak
Outrigger Canoe

Prices are per person - $200 total for the craft

Craft*
Surf Ski
Ocean Racing Ski
Sea Kayak
Outrigger Canoe

Prices are per person - $200 total for the craft

Craft*
Surf Ski
Ocean Racing Ski
Sea Kayak
Outrigger Canoe

Prices are per person - $200 total for the craft

Craft*
Surf Ski
Ocean Racing Ski
Sea Kayak
Outrigger Canoe

Prices are per person - $200 total for the craft

Craft*
Surf Ski
Ocean Racing Ski
Sea Kayak
Outrigger Canoe

Prices are per person - $160 total per craft with two Juniors.
If a Junior paddles with a Open 18+, craft total is $180

Each paddler must enter separately or individually

Team or club name *
Your team is*
All Male
All Female
Mixed
Craft*
Outrigger Canoe OC3
Outrigger Canoe OC6

Prices are per person - $270 total for OC3 & $540 total for OC6

Craft Type*
Singles Craft
Doubles Craft
Team Craft (OC3 OC6 Surf Boat St. Ayles Skiff)
Age Group*
Open (18+)
Open (40+)
Open (50+)
Open (60+)
Junior (15 to under 18)
Craft*
Surf Ski
Ocean Racing Ski
Sup's
Sea Kayak
Prone Paddle Board
Hobie & Sit on Top Kayak
Outrigger Canoe
Craft*
Surf Ski
Ocean Racing Ski
Sup's
Sea Kayak
Prone Paddle Board
Hobie & Sit on Top Kayak
Outrigger Canoe
Craft*
Surf Ski
Ocean Racing Ski
Sup's
Sea Kayak
Prone Paddle Board
Hobie & Sit on Top Kayak
Outrigger Canoe
Craft*
Surf Ski
Ocean Racing Ski
Sup's
Sea Kayak
Prone Paddle Board
Hobie & Sit on Top Kayak
Outrigger Canoe
Craft*
Surf Ski
Ocean Racing Ski
Sup's
Sea Kayak
Prone Paddle Board
Hobie & Sit on Top Kayak
Outrigger Canoe

Each paddler must enter separately or individually

Doubles partner name *
Your doubles team is*
All Male
All Female
Mixed
Age Group*
Open (18+)
Open (40+)
Open (50+)
Open (60+)
Junior (15 to under 18)
Grommet (12 to under 15)
Craft*
Surf Ski
Ocean Racing Ski
Sea Kayak
Hobie & Sit on Top Kayak
Double Sit on Top Kayak
Outrigger Canoe
Canoe

Prices are per person - $160 total for the craft

Craft*
Surf Ski
Ocean Racing Ski
Sea Kayak
Hobie & Sit on Top Kayak
Double Sit on Top Kayak
Outrigger Canoe
Canoe

Prices are per person-$140 total per craft with two Juniors.
If a Junior paddlers with a Open 18+, craft total is $150.

Craft*
Double Sit on Top Kayak
Canoe

Prices are per person - Grommet must be partnered with a senior - $130 total for the craft

Craft*
Surf Ski
Ocean Racing Ski
Sea Kayak
Hobie & Sit on Top Kayak
Double Sit on Top Kayak
Outrigger Canoe
Canoe

Prices are per person - $160 total for the craft

Craft*
Surf Ski
Ocean Racing Ski
Sea Kayak
Hobie & Sit on Top Kayak
Double Sit on Top Kayak
Outrigger Canoe
Canoe

Prices are per person - $160 total for the craft

Craft*
Surf Ski
Ocean Racing Ski
Sea Kayak
Hobie & Sit on Top Kayak
Double Sit on Top Kayak
Outrigger Canoe
Canoe

Prices are per person - $160 total for the craft

Each paddler must enter separately or individually

Team or club name *
Your team is*
All Male
All Female
Mixed
Craft*
Outrigger Canoe OC3
Outrigger Canoe OC6
Surf Boat
St. Ayles Skiff

Prices are per person - $210 total for OC3, $420 total for OC6 & $350 for Surf Boat & St. Ayles Skiff

If there are less than three crafts in any category, you will be moved down a age division or into another craft selection.
OC3, OC6 & Surf Boat will stay in there own Categories even if there is less than three crafts.

T-Shirts, Event Hi-Vis Peak Hats, Meals, & Craft Hire

You can order additional quantities by adjusting the quantity number in the cart at the bottom of the page.

All entries receives a free Hi-Vis Peak Hat. Mandatory Safety Requirement.

Event T-Shirt

T-Shirt Size
T-Shirt Size Small
T-Shirt Size Medium
T-Shirt Size Large
T-Shirt Size XL
T-Shirt Size XXL
T-Shirt Size XXXL
Additional Event Peak Hats (One received free with entry)
Hi-Vis Event Peak Hat
Saturday Night Dinner - $20 per head
Spit Roast Dinner
Vegetarian Dinner
Craft Hire for Metung Course
Double Sit-On-Top Kayak Hire

 

If you require additional above items for family or friends, please adjust the quantities in the cart at the bottom.

 

To help us track your payment, please let us know what payment option you will be using (Select the payment option below the cart at the bottom)*
Direct Deposit
PayPal

Terms and Conditions *

I accept the Terms and Conditions (Click Here). *

;

I accept the Terms and Conditions.

Total
$ 0.00
Submit Your Registration

If you chose to make your payment by Direct Bank Deposit, please deposit your payment to:
LESLSC Bank
BSB: 063832
ACC: 10022700

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