Event Registration Question Title * 1. Given name/s Question Title * 2. Surname Question Title * 3. Date of birth Date Date Question Title * 4. Your gender identity Male Female Other (please specify) Question Title * 5. Contact information Address Address 2 City/Town State Postcode Email Address Phone Number Question Title * 6. Cycling jersey size (Measurements are in cm. 1/2 chest is measured across the chest below the arms - not around the chest. Back length is measured from neck seam to the bottom of the shirt) XXXXS (1/2 chest 41.5/Back 61) XXXS (1/2 chest 44.5/Back 63.5) XXS (1/2 chest 47.5/Back 66) XS (1/2 chest 50.5/Back 68.5) S (1/2 chest 53/Back 71) M (1/2 chest 55.5/Back 73.5) L (1/2 chest 58/Back 76) XL (1/2 chest 60.5/Back 78.5) XXL (1/2 chest 63/Back 79.5) XXXL (1/2 chest 65.5/Back 82) XXXXL (1/2 chest 67.5/Back 84.5) XXXXXL (1/2 chest 69.5/Back 87) Question Title * 7. Polo shirt size. (Measurements are in cm. 1/2 chest is measured across the chest below the arms - not around the chest. Back length is measured from neck seam to the bottom of the shirt) Size 4 (1/2 chest 33 / Back 48) Size 6 (1/2 chest 36 / Back 52) Size 8 (1/2 chest 39 Back 55) Size 10 (1/2 chest 42 Back 59) Size 12 (1/2 chest 45 Back 63) Size XS (1/2 chest 47 Back 68) Size S (1/2 chest 49 Back 70) Size M (1/2 chest 52 Back 72) Size L (1/2 chest 55 Back 74) Size XL (1/2 chest 58 Back 76) Size XXL (1/2 chest 61 Back 78) Size XXXL (1/2 chest 64 Back 80) Size XXXXL (1/2 chest 67 Back 82) Size XXXXXL (1/2 chest 70 Back 83) Size XXXXXXL (1/2 chest 72 Back 84) Question Title * 8. Next of kin contact details Name Relationship to you Email Address Phone Number Question Title * 9. The Sebastian Foundation is committed to creating positive change in the mental health outcomes of our adolescent kids. What is your fundraising goal for this ride? Question Title * 10. How can The Sebastian Foundation help you to achieve this outcome? Supply a fundraising guide Provide an individual fundraising page Supply fundraising incentives ie. video from Guy Sebastian to share on social media encouraging donations Other (please specify) None of the above Question Title * 11. I acknowledge that due to the road cycling nature of this event the organisers strongly recommend you to investigate your health insurance coverage and consider a travel insurance policy. Do you agree? Yes No Question Title * 12. Registration to the 2020 Tour for their Future is dependent on payment of the $500 tour fee. Please deposit funds to Account Name: Lockhart Cycle BSB: 633 000 Acc#: 154780837 and upload a screenshot of the bank transfer PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Registration to the 2020 Tour for their Future is dependent on payment of the $500 tour fee. Please deposit funds to Account Name: Lockhart Cycle BSB: 633 000 Acc#: 154780837 and upload a screenshot of the bank transfer Question Title * 13. Tour for their Future ride from the Hume Dam Wall (NSW) to Sugar's Beach (SA) commences Friday 12th March 2021 and concluding Friday 19th March 2021. The 'event' includes all fund raising events being held during the course of his event.You will be asked to sign a waiver declaration that sets out that you agree to participate in the event of your own free will and do so entirely at your own risk. You unconditionally release, waive and discharge your rights whether at law or equity which you might have against the organisers now or in the future.You will agree to not hold the organisers or benefitting charity responsible for any accident, death, damage or injury to yourself or personal property no matter how such is occasioned during the course of the Event OR whether due to your or my negligence and/or misadventure.This waiver will be enforceable against the organisers, executors and administrators. Do you agree? Yes No THANK YOU. Click here to complete and we will contact you shortly.
