2019 Australian HPV Super Series

Team Details
Entrant (Institution or Group) Name *  
Team (Vehicle) Name    
Team Manager Title    
Team Manager Surname *  
Team Manager First Name *  
Postal Address (street) *  
Postal Address (suburb) *  
State / Province * Other ( specify )  
Postcode / ZIP *  
Telephone (Bus) *  
Telephone (Mobile) *  
e-mail *  

* = Required Field

 

Entry Fees

 

Date

Venue Registration Fee  
30 March 2019 Mount Gambier 8 hour - Round 1 $350.00 + gst  
5 May 2019 Loxton 6 hour - Round 2 $350.00 + gst  
15 June 2019 OPEN CATEGORIES ONLY Victoria Park 6 hour - Round 3 $450.00 + gst  
16 June 2019 SCHOOL CATEGORIES ONLY Victoria Park 6 hour - Round 3 $450.00 + gst  
27 July 2019 OPEN CATEGORIES ONLY Victoria Park 6 hour - Round 4 $450.00 + gst  
28 July 2019 SCHOOL CATEGORIES ONLY Victoria Park 6 hour - Round 4 $450.00 + gst  
18 August 2019 Busselton WA 6 hour - Round 5 $350.00 + gst  
21 - 22 September 2019 Murray Bridge 24 hour - Round 6 $550.00 + gst  
 

Entrant Type

 
Please select the best description for your team:

  School - Government

  School - Non Government

  Community - Made up of members from across the community

If entering as a school team ALL members MUST be from the same school otherwise choose community.

Age Category

 

Please select the age category of your team:

  Junior School (S1 Single school where riders are from years 5 - 7 under age 14 at January 1st 2019)

  Middle School (S2 Single school where riders are from year 10 and below under age 17 at January 1st 2019) 

  Senior School (S3 Single school where riders are from year 12 and below under age 20 at January 1st 2019) 

  Open Under 14(C4 Community Based where riders are under the age of 14 at January 1st 2019) 

  Open Under 17(C5 Community Based where riders are under the age of 17 at January 1st 2019) 

  Open Under 20(C6 Community Based where riders are under the age of 20 at January 1st 2019) 

  Open(C7 Community Based with riders of any age) 

 

Other

 

Please include our team in the following sub-category(s):

  All Female Team 

  Masters Category - Cat C7 Open with all riders 35 or older as of January 1st 2018. 

  Open - Male Solo - Cat C7 ADELAIDE ROUNDS ONLY : Open male rider of any age, 1 rider per team. 

  Open - Female Solo - Cat C7 ADELAIDE ROUNDS ONLY : Open female rider of any age, 1 rider per team. 

 

   
Invoice Total   AUD$ inc gst
     
I have read and understand the Conditions of Entry