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Ports to Peaks Registration Form
Register your team here.
Name
Title
First name
Last name
Company name
Team Captain
Tick this box to confirm you will be the team captain.
Port or Centre
Which port/city do you work in?
Email address
Mobile phone
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Registration types
Interested in
Registering a team (3 people) - Regular Challenge
Registering a team (3 people) - Moderate Challenge
Registering (individual) for the virtual challenge
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Team Name
Be creative so you stand out
We acknowledge that there are costs involved in putting on this event and by registering our team we agree to pay the entry fee and fundraise to the best of our ability.
We acknowledge that the cost doesn't include accommodation at Thredbo and this is an added cost.
We agree that our fitness aligns with the chosen level of participation.
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Your other team members
Add another contact?
Persons name
First name
Last name
Email address
Cell phone
Allergies
Please provide any allergies or dietary requirements
+ Add another
- Remove
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Submit
Please check the highlighted fields
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