10km Challenge 2017 - 'Barbarians' Interest Registration
This form is to register your interest in competing in the 2017 Austcham 10km Challenge race as a 'Barbarians' crew, meaning a mixed crew from various teams.

Training slots may be available prior to the race.

Registration cost = $20 - $40 (dependant on boat rental)

Email address
Name (As on IC/FIN)
Your answer
Contact Number
Your answer
DOB
MM
/
DD
/
YYYY
'Home' Club (eg. German Dragons)
Your answer
Master Paddling Side
Weight (kg) (to balance boat)
Are you a certified steer/cox?
Size of Finisher T-shirt? (+$20)
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