Registration WW100 Ride

Name *
Name
Emergency Contact Details
Parent, Partner, Sibling, etc
General Info
What distance are you attempting
Remember our goal is 100 womens completing 100 km (the first group in the world to do this!!)
What Group are you starting in? *
I'm aiming to have people finishing between 12:30 and 2 pm, if at all possible. Don't scare the group you're in by being too fast for them :)
Conditions of the Ride
I understand that this ride is a fun, un-marshaled, un-timed event. The roads are open to normal traffic so I'm aware I must obey to all road rules to keep myself and others safe. I'm in it to finish & have a laugh along the way. I will pay the event fee of $15 on registration. *
Payment Details
Event Fee $15. All payments are to be made to the following account on registration. Please clearly reference your name when paying. Payment is non-refundable. Account Number: 02 0828 0088647 000