Feet on the Street

Participant Registration Form

Steps 1-5: Please complete the following boxes (where relevant) and drop down menus.
City-Bay Fun Run Requires the following information for registration.

Salutation:
First Name:			Surname:
Company:
Street Address:
Suburb:			Post Code:
Contact Number:			Gender:
Email:
Date Of Birth:	/ /
Best way to contact me:
Concession Number:
Event Category & Prices:		On-line registration fees must be received by SJCS no later than 9^th September to avoid a City-Bay late fee of $15- per registration.
*Payment options available on the next page
A Feet on The Street T-Shirt or Singlet is included in every participant registration. Arrangements to forward the clothing and Race Number will be made following payment of fees and receipt of the items.

T-Shirt or Singlet			Shirt Size:

Terms & Conditions of Participation All participants are required to agree to the following Terms and Conditions expressed in the Indemnity Forms.
Click Here to read terms (Printing and signing not required. Just tick the agreement box below)
I understand and agree to the terms and conditions stated above
I do not wish to receive information from the Organisation and/or Southern Junction Community Services Incorporated about other Events
I do not wish to receive any future marketing or promotion material from the Organiser and/or Southern Junction Community Services Incorporated.
Southern Junction Community Services may use event photos in legitimate promotional material. Please tick here if you do not wish your image to be used.

NEED MORE INFORMATION?
Please contact Helen at Southern Junction Community Services on (08) 8392 3000 or email community@southernjunction.org.au