Online Registration Form - old

Please complete the registration form below and clearly stipulate the type of team being registered.

For more details regarding differences between the different types, please view the following :

For any other enquiries, email the event organisers.

Team Information :
Type of Team *	Type of team is required.
Team Name *	Team Name is required.
Team Captain Information :
First Name *	First name required.
Last Name *	Last name required.
Cell Phone Number*	Cell number is required.
Email Address *	Email is required.Invalid format.
Note : please provide phone as a string of numbers, without spaces or special characters, ex. 022 / 123 45 67 becomes 0221234567.

The Team Waiver Form must be completed online, printed then signed, ready for presentation at registration the morning of the races. From June 1st you will be able to download and complete Team Waiver Form from this page Registration fees must be paid no later than 31 May 2010 using the following banking details :
	English Speaking Cancer Association Account No. 243-341674.01F Clearing number 243 UBS SA - Grand-Rue 47, CH-1180 Rolle IBAN CH24 0024 3243 3416 7401 F BIC UBSWCHZH80A

Please check here if you need an invoice sent
If yes, to what address :

Please copy the security code into the space provided. *
	Code unclear? Click A value is required.Minimum number of characters not met.Exceeded maximum number of characters.

Team Information :