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| EVENT ENTERED | CATERGORIES | ||
| 1000m: | Open Men’s | ||
| 3000m | Open Women’s | ||
| 5000m | Mixed & Promotional | ||
TEAM NAME: __________________________________
ADDRESS: ____________________________________
CITY: _________________________________________
COUNTRY: _____________________________________
TELEPHONE/EMAIL: _____________________________
PADDLERS’ NAMES
CAPTAIN’S SURNAME: __________________________
FIRST NAME: ___________________________________
SURNAME: _____________________________________
FIRST NAME: ___________________________________
SURNAME: _____________________________________
FIRST NAME: ___________________________________
SURNAME: _____________________________________
FIRST NAME: ___________________________________
SURNAME: _____________________________________
FIRST NAME: ___________________________________
SURNAME: _____________________________________
FIRST NAME: ___________________________________
I agree to comply with the rules, regulations and event
instructions of the Te Houtaewa Challenge 90 Surf Challenge.
Signed: _______________________________________
Address for entries: Te Houtaewa Challenge
P.O. Box 403 Kaitaia, New Zealand.
$65.00 early bird
$80.00 late entry (after 1st March)
Cheque payable to: Te Houtaewa Challenge Maori Trust