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2023 WAIR Short Track Speed Skating Championships
Complete this registration form to enter the above event to be held on Saturday 2nd and Sunday 3rd December 2023 at Cockburn Ice Arena.
Times
Saturday 2nd: 7am - 9:30am (Warm up until 7:15am)
Sunday 3rd: 7:15am to 8:45am (Warm up until 7:30am)
Competitor Name
*
First
Last
Preferred name(s)
First
Last
I am over 18 years of age?
*
Please select
Yes
No
If under 18, please suypply parent/gaurdian details.
Parent/Guardian name
First
Last
Email Address
*
Confirm
Mobile Phone Contact
*
Gender
*
Please select
Male
Female
Other
Date of Birth
*
DD
/
MM
/
YYYY
Division
*
Please select
Senior (19 and over)
Junior A (17-18)
Junior B (15-16)
Junior C (13-14)
Junior D (11-12)
Junior E (9-10)
Junior F (8 and under)
Master A (500m time better than 60 secs)
Master B (500m time greater than 60secs)
The relevant division is based on how old you were on the 1st July 2023.
My best 500m time since January 1, 2023.
*
Australian Ice Racing Number
*
If you do not yet have a helmet cover, please type 'No Cover'.
Presentation Lunch
Please select
Yes
No
Unsure
Presentation lunch will be a BBQ lunch at a venue in Waterford.
Who will accompany the skater to the presentation lunch?
Please indicate all people who will attend (Mother, Father, 2 siblings etc, etc.)
Acknowledgement
*
By ticking this box, I acknowledge the above named participant (or parent) has read the AIR Code of Conduct and Member Protection Policy (available online at www.australianiceracing.org) and agrees to abide by it and and relevant policies of WAIR.
Submit Entry
*
Please select
Enter Me
Upon entering the competition, you will be redirected to a page with banking details for you to make a direct payment to WA Ice Racing.
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