Race Entry Forms:

Dragon Boat Entries

• Required Field

Crew Contact Person

Title:	First Name: (•)	Last Name: (•)
Contact Phone Number (•)	E-Mail Address: (•)

Race Entry Information

Club: (•)
Number of Boat Entries: (•)	Number of Paddlers $10pp: (•)	Identifying Colours: (•)

T-Shirt Requirements (Numbers)

Small	Medium	Large	X-Large

Payment Details

Payment Method (•)	Amount (•) $
Make cheques payable to: Murwillumbah Rowing Club & post to PO Box 846, Murwillumbah, 2484
Deposit Details:
Account Name: MRC HOTT Acct BSB: 082-738 Account Number: 170430070

Comments

Comments

All of the above participants are covered by School insurance or Rowing Club/Sport Club insurance. *

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