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CHARTERS TOWERS REGIONAL COUNCIL
RIDE TO SCHOOL PARTICIPANT RELEASE & INDEMNITY FORM
Towers Rush Lead Up Event
All registrations close for all FREE activities at 4:30pm the day before the event:
Ride to School Week 1 – Tues 13 & Wed 14 August
Ride to School Week 2 – Tues 3 & Wed 4 September
Contact/Guardian Information
First Name
*
Surname
*
Postal address
*
Mobile
*
Email Address
*
Childs School
Are any participants under the age of 18?
*
Yes
No
Towers Rush Programme - Participant Release & Indemnity Form