Tenth aMAZEing Ballarat – Saturday 3 December 2016 – Entry Form

 

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Entries are open until 5pm on Thursday 1 December 2016.

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Event Details

Organisers & Course Setters Mark Valentine.
Map Ballarat street map supplied by organisers from files supplied by the City of Ballarat and Vic Roads.
Terrain Undulating streetscape and parkland.
Start/Finish Location Start: Museum of Australian Democracy at Eureka. Check in from 8.30am, briefing 9.15am for a 9.30am start.
Finish: Eastwood Leisure Centre complex in Eastwood Street (behind Safeway) by 1.30pm – same location as previous years.
Directions Will be supplied in full detail in week prior to event. Event is confined within Ballarat City boundaries.
Entry Details Complete the form below and click Submit Entry to e-mail your entry to the organisers.
Teams can be 2 (min), 3 or 4 persons (max).
If you’d like to participate, but don’t have a team, please don’t be discouraged from entering! Select “Please add me to a team” in the form below, and the organisers will find a suitable team for you.
aMAZEing Ballarat is a great activity for business groups, sporting organisations, families, friends, and school teams.
Special classes will be arranged by the organiser on the day to add to the fun of the event.
Juniors Under 18 as at 3 Dec 2016.
Infants Infants in pushers no charge/not counted in numbers.
Entry Fees Adults – $25.
Children (Under 18 on 3 Dec 2016) – $10.  Third child in any team of 4 is free.
Team Maximum – $75.
10th Annual aMAZEing Ballarat Entry Form

  • Team Details


  •   2
      3
      4
      Please add me to a team
  •   0
      1
      2
      3
  • That's not a valid selection - please fix!

  • Your team must contain at least one adult.

    Great activity for business groups, sporting organisations, families, friends, and school teams. Special classes will be arranged by the organiser on the day, to add to the fun of the event.

  • Adults - $25
    Children (Under 18) - $10. Third child in any team of 4 is free.
    Team Maximum - $75

  • Team Member 1 - Main Contact First Please



  • Team Member 2



  • Team Member 3



  • Team Member 4



  • Payment


  • $10.00
  • $25.00
  • $35.00
  • $45.00
  • $50.00
  • $60.00
  • $70.00
  • $75.00
  •   Direct Deposit
      Posting Cheque
      Posting Money Order
      Paying Cash at Event (by arrangement only)
  • If paying by Direct Debit, go to your online banking website, and choose the option to Pay Anyone. Deposit correct total amount to Account Name: Eureka Orienteers BSB: 063 556 Account # 1005 5562. Include AB and your last name in the reference field, so we can cross-reference your payment with your entry. To be completed before Thursday 1 December 2016.

  • If paying by Cheque or Money Order, please make your cheque or MO out to Eureka Orienteers Inc. and post it to Eureka Orienteers, PO Box 490, Ballarat VIC 3353, to arrive before Thursday 1 December 2016.

  • Please contact the organiser to arrange cash payments, to be completed before Thursday 1 December 2016.


  • ... and in closing ...


  • Click this link to read the aMAZEing Ballarat 2016 Information Flyer (PDF).