2018 Australian HPV Super Series

When you use the submit button at the bottom of this form, a confirmation code will be email to you.  You will require this confirmation code to finalise your registration. 

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 (AH) *  
Telephone (Bus) *  
Telephone (Mobile) *  
e-mail *  

* = Required Field

 

Entry Fees

 

Date

Venue Registration Fee  
7 April 2018 Mount Gambier 8 hour - Round 1 $350.00 + gst  
6 May 2018 Loxton 6 hour - Round 2 $350.00 + gst  
16 June 2018 OPEN CATEGORIES ONLY Victoria Park 6 hour - Round 3 $450.00 + gst  
17 June 2018 SCHOOL CATEGORIES ONLY Victoria Park 6 hour - Round 3 $450.00 + gst  
28 July 2018 OPEN CATEGORIES ONLY Victoria Park 6 hour - Round 4 $450.00 + gst  
29 July 2018 SCHOOL CATEGORIES ONLY Victoria Park 6 hour - Round 4 $450.00 + gst  
19 August 2018 Busselton WA 6 hour - Round 5 $350.00 + gst  
22 - 23 September 2018 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 under the age of 14 January 1st 2018)

  Middle School (S2 Single school where riders are under the age of 17 January 1st 2018) 

  Senior School (S3 Single school where riders are under the age of 20 January 1st 2018) 

  Open Under 17(C4 Community Based where riders are under the age of 17 January 1st 2018) 

  Open Under 20(C5 Community Based where riders are under the age of 20 January 1st 2018) 

  Open(C6 Community Based with riders of any age) 

Other

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

  All Female Team 

  Masters Category - Cat C6 Open with all riders 35 or older as of January 1st 2018. 

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