New Zealand National Championship Entry Form 
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Email *
Full Name  *
Contact Phone Number  *
Age  *
Gender *
Have a go (This is for first time competitors only)  
Under 13 (Under 13 as at 23rd September 2023)
Clear selection
Championship Under 16 (Under 16 as at 24th September 2023)
Clear selection
Championship Womens 
Clear selection
Championship Mens 
Clear selection
Championship Open 
Clear selection
Championship Veterans (Over 60 as at 23rd September 2023)
Clear selection
I understand there is a $5.00 Admin fee for my first entry and have included it in my payment.  *
Important Information
All printed forms must be sent to OGHT no later than 22/09/2023
Post address PO Box 91, Cromwell. 
Physical address 52 Erris Street, Cromwell. 

Payment can be made by direct deposit to account 01-0695-0034150-03 

You will be able to register for additional heats on the day. 

  (If this event is cancelled due to government restrictions or the cancellation is beyond the event organiser’s control an entrant may either stay in credit with the NZ Gold Panning Championship or request a refund minus 15%. This is to cover allowable expenses towards this not for profit event.)  
A copy of your responses will be emailed to the address you provided.
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