GO-4-12 Entry Form

Support Crew Contact Details – supporting the team at the event

Support crew aren't required for this event but if you are a supporter please fill in your contact details below.
Support Crew - Adult contact for team *

First Name Last Name
Email *
example@example.com
Cell Phone Number *
Additional support crew members for this team.
Please list Names, emails and cell phone numbers of additional support crew.
Entry Fees

Early Bird Entries close midnight 5th August - Standard Entry Fees close midnight 9th September 2022
GO-4-12 3 Hour Explorer Early Bird team entry @ $80.00 Per Team ($40 per team member) *
2 team members
Accommodation - there is camping available on-site at $5 per person stay the Friday night, please contact us for more information.
Once your form is submitted an invoice will be sent from Ainsworth Ltd TA GO-4-12 for the above fees, this is not an automated process, please allow up to 48 hours for your invoice. Your entry is not confirmed until payment has been received.

Name, Email & Postal Address for invoice:
Name for Invoice *
Who is the invoice to be made out to?
Email for Invoice *
example@example.com
Address for Invoice *
Waiver *
Go to the GO-4-12 website for all Race Information www.go412.co.nz
Please verify that you are human *
Should be Empty:

GO-4-12 3 Hour Explorer Entry Form