The Canicross Club 2025 Race Series Sign Up Form

The Canicross Club 2025 Race Series Sign Up Form
IMPORTANT NOTICE

Online entries and payment close at 5:00 pm

on the Friday before the event.

We are very sorry, but no late entries will be accepted,

either online or on the day.
Participant Information
Full Name*

First NameLast Name
Age
Date

DayMonthYear
Date
Race Category
Not compulsory to answer. If you are racing for points, ribbons etc we require an answer. We have Men's, Women's and Junior* divisions. (* Juniors aged 10-16)
Email*
example@example.com
Phone Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Dog's name*
Dog's age*
(Dog must be at least 12 months old to enter a race)
Emergency Contact Details
Contact Person*

First NameLast Name
Phone Number*
Relationship
Payment Information
Method of Payment*
Our account details are: Account name The Canicross Club Inc BSB 633000 Account number 205194913 To assist us please use your Surname and Suburb in your transaction reference
Entry Fees

Single Race

General Public $20

AFSS Member $18

The Canicross Club Member $15

The Canicross Club Member Season Pass $75 Entry to all race events
Entry Fees & Conditions Please note that a basic canicross setup is required to be used as per the AFSS rules and regulations (harness, bungee leash and belt) Entry fees include AFSS casual membership during the time of the event, Forest usage fees, Insurance, Club costs & admin.
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Middle Ridge Ramble (2.5km) Ourimbah State Forest 1sh June 2025 - 8:00 am
$20.00AUD QuantityEntrant Category
Item subtotal:$0.00AUD



Middle Ridge Ramble (9km) 2Ourimbah State Forest 1sh June 2025 - 8:00 am
$20.00AUD QuantityEntrant Category
Item subtotal:$0.00AUD



2025 Season PassThe Canicross Club member season pass. Entry to all race events. Still great value
$75.00AUD Quantity



I already have a 2025 Season Pass (The Canicross Club Members)The Canicross Club members that already have paid for a 2025 Season Pass
$ FreeAUD Quantity



Total

$0.00AUD
Our account details are:

Account name The Canicross Club Incorporated

BSB 633000 Account number 205194913

To assist us please use your Surname and Suburb in your transaction reference
Please complete the below*

I confirm that I, and my dog are in good shape, health, and condition and we don't have any medical condition or medical history that will affect my participation in this event.I acknowledge that this race requires physical activity and there are possible risks and danger to both myself and my dog.I release the race event organizers for any responsibility in case of an accident, illness, or injury to myself or my dog.I acknowledge that this event is held in a public space and will keep my dog on leash at all times.I give permission to The Canicross Club to take photos/video of me and my dog. These may be published their website, social media etcI acknowledge that I am responsible for my dog.I acknowledge that these race events will be conducted under the AFSS rules and regulations and I have read them.I confirm that my dog has, at least the minimum vaccination requirements as per the AFSS rules & regulations (C3 yearly or a Titre test with-in 12 months)and will have a copy available to view on the day of the race (unless previously supplied to the club)I confirm that all information in this registration form is accurate and true.
Waiver & Release
Date

DayMonthYear
Date
Should be Empty:

The Canicross Club 2025 Race Series Sign Up Form

Participant Information

Emergency Contact Details

Payment Information

Waiver & Release