MCFBSA FIREFIGHTER CHALLENGE 2024

Firefighter Challenge 2024 Registration

30 November 2024 - Sheffield
Are you registering as a Competitor or Official?

CompetitorOfficial

Name*

First NameLast Name
Brigade*
Which Brigade are you a member of?
Email*
example@example.co.nz
Phone Number*

PrefixPhone Number
Preferred Officiating Position

What type of competitor registration does this relate to?*

IndividualTandemRelay

Name*

First NameLast Name
Email*
example@example.co.nz
Brigade*
Brigade
Phone Number*

PrefixPhone Number
Date of Birth*

DayMonthYear
Date
Gender*

Open MaleOpen FemaleMale 40+Female 40+Male 50+Female 50+Male Novice (No BA)Female Novice (No BA)

Team Name*
Team Name
Brigade*
Brigade
Type a question*

MaleFemaleMixed
Team Member 1*

First NameLast Name
Team Member 2*

First NameLast Name
Email*
example@example.co.nz
Phone Number*

PrefixPhone Number

Team Name*
Team Name
Brigade*
Brigade
Type a question*

MaleFemaleMixed
Team Member 1*

First NameLast Name
Team Member 2*

First NameLast Name
Team Member 3*

First NameLast Name
Team Member 4 (Optional)

First NameLast Name
Team Member 5 (Optional)

First NameLast Name
Email*
example@example.co.nz
Phone Number*

PrefixPhone Number

Payment*
prevnext( X )
Individual RegistrationIndvidual Registration
$15.00NZD



Tandem Registration
$25.00NZD



Relay Registration
$35.00NZD



Officials Registration
$ FreeNZD



Total

$0.00NZD
Should be Empty: