GO-4-12 Entry Form

Support Crew Contact Details – supporting the team at the event

Support crew aren't required for the 3 Hour Explorer event but if you are the supporter of the team on event day please fill in your contact details below
Support person*

First NameLast Name
Email Address*
example@example.com
Cell Phone Number*
Any additional support persons - please list their names here:
Please list names and email addresses
Entry Fees

EARLY BIRD Entries and Entry Fees close midnight 6th February 2025 - Payment of entry fee is required upon receipt of invoice. STANDARD Entries and Entry Fees close midnight 6th March 2025
GO-4-12 3 Hour Exploror early bird team entry @ $80.00 Per Team

2 team members - Race day is Sunday 16th March 2025.
Saturday night dinner @ $23.00 Per person - Qty required:
This is for dinner if you are staying onsite Saturday night.
Any Dietary Requirements if purchasing meals?
Please list full name and their dietary requirements for Saturday night meal, as the caterers will provide alternative meals for you.
Saturday night camping on-site @ $18.00 Per person - Qty required:
Camping on-site is not included in the team entry
Sunday night camping on-site @ $18.00 Per person - Qty required:
Camping on-site is not included in the team entry
Accommodation

The 2025 GO-4-12 will be based at Tukituki Camp 70 Moore Road, Haumoana 4172 Hawkes Bay

Will the team be staying on-site? $18 on-site camping per person. You need to provide all your own camping equipment - also available: limited powered sites and cabin accommodation - please contact go412adventure@xtra.co.nz 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 and payment is required on receipt of the invoice. Your entry is not confirmed until payment has been received.

Name, Email & Postal Address for invoice:
Name for Invoice to be invoiced to*
Is the invoice to be addressed to a school or an individual?
Contact person*
Who is the contact person for this invoice?
Email address for Invoice to be sent to*
example@example.com
Cell Phone Number*
Postal Address for Invoice
By entering your team in the event, you consent to the following: Still and moving images that have been taken or recorded by or on behalf of GO-4-12 may be used in any or all of the promotional, social and advertising material of GO-4-12 or provided to any third party, including but not limited to GO-4-12 partners and sponsors, for their reasonable use as they see fit. This event will also be broadcast, and your team may be filmed/ interviewed (not all games are livestreamed) and available on demand on Whakaata Māori, Māori Active. If you have any questions, wish to discuss or have any concerns about this, please contact GO-4-12 before the close of entries. Please note GO-4-12 adheres to the School Sport Charter regarding its school events.
Waiver*
Go to the GO-4-12 website for all Race Information www.go412.co.nz
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GO-4-12 3 Hour Explorer Entry Form

Support Crew Contact Details – supporting the team at the event

Entry Fees