Registration

REGISTRATION COST

Entry fees are as follows:

CATEGORY Summit Ascent (11.5 km) Laratinga Circuit (5 km)
Individual $30 $20
Team/Corporate $30/person $20/person
Family $50 $35
  1. Family registration covers 1 or 2 adults plus 1 or more children aged 8 to 15.
  2. Individual, Team and Corporate registration is restricted to those aged 16 or over on race day (April 9, 2017).

HOW TO REGISTER

You can register in 2 different ways:

METHOD 1 – Online

  • Web-based Entry Form – Available from link below.
  • Pay by credit card – You will be prompted for this when completing the entry form.
  • Waiver Form – Print, complete and post (or bring to registration desk on race day).

METHOD 2 – Manual

  • PDF Entry Form – Complete and send by post (hard copy) or email (scanned).
  • Pay by cheque – Post to Lions Club of Mt Barker.
  • Waiver Form – Print, complete and post (or bring to registration desk on race day).

Full details for each method are given below.

Closing dates:

  • Payment must be received by Friday, April 7 to guarantee entry.
  • Early-bird entry closes on Tuesday, April 4. If your entry is received by this date, you will receive 3 free raffle tickets in the Entrants’ Draw.

ONLINE REGISTRATION

To register online (Method 1) for Conquer The Summit 2017:

1. Complete the Entry Form for your preferred event:

You will be asked to:

  • Nominate your event category.
  • Provide your name and contact details, including phone number and email address.
  • Agree to these Terms & Conditions (PDF), which will be displayed on the form.
  • Supply your credit card details for payment of the entry fee.

On completion you will receive a confirmation email.

2. If you are aged 18 or over: Download, complete and sign the Liability Waiver Form (PDF) and submit it using one of the following methods:

  • In person – At the registration desk on race day by 9:40am.
  • By postal mail (address below) – Include a note stating that you have registered online.

The mailing address (no stamp required) is:
Lions Club Mt Barker
Reply Paid 84382, Mt Barker SA 5251


MANUAL REGISTRATION

To register manually (Method 2) for Conquer The Summit 2017:

1. Download and complete the Manual Entry Form (PDF). You will be asked to:

  • Nominate your event category.
  • Provide your name and contact details.
  • Certify that you have read the Terms & Conditions (PDF) and agree to them.

2. If you are aged 18 or over: Download, complete and sign the Liability Waiver Form (PDF).

3. Post the following items to the Mount Barker Lions:

  • Completed Entry Form
  • Waiver Form
  • Cheque for payment of entry fee (made out to “Lions Club of Mt Barker”).

Alternatively, you can submit the Entry Form and Waiver Form in person at the registration desk on race day by 9:40am.

The mailing address (no stamp required) is:
Lions Club Mt Barker
Reply Paid 84382, Mt Barker SA 5251

Leave a Reply

Your email address will not be published. Required fields are marked *