Glenhope Gravel Grinder
81km and 41km options.
SUNDAY, 12th NOVEMBER 2017
ENTRIES CLOSE 11pm Wednesday 8th November. Late entries accepted on the day for an additional $15 per person. Please enter early.
Street or Postal Address
Do you have any existing medical conditions?
The Medical Condition is:
Emergency Contact Name
Emergency Contact Ph No.
Entry fee is per person. Please direct credit entry fee to Bank Account No. 03-1709-0402706-00 with your surname as a reference. (Entry will not be valid until payment has been received).
Payment has been made
I agree that I have read or will read the Terms and Conditions in the WAIVER as set down on the website www.rainbowrage.co.nz and I agree to be bound by the WAIVER as it is laid down.
Parent or Guardian (if under 18 years old)
Please indicate which ride you wish to do (tick one box only) :
41km FUN RIDE $35 Entry Fee
81km RACE $35 Entry Fee
Do Not Fill This Out