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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