Surname ………………………………………….
First Name ………………………………………..
Date of Birth ………………………………………
Age on 11 June 2017 ………... M / F …………
Address …………………………………………...
……………..…………………………P/C………...
Racewalking Club ………………………………..
Telephone ……………………………………..(h)
……………………..…………….(m)
E-mail ……………………………………………..
WAIVER
- I, the undersigned, in consideration of and as a condition of my entry in this event for myself, my heirs, executers, and administrators, hereby waive all and any claim, sight or cause of action which I or they might otherwise have for or arising out of loss of life or injury, damage or loss of any description what so ever which I may suffer or sustain in the course of or subsequent upon my entry or participation in this event.
- This waiver, release or discharge shall be and operate in favour of the ACT Race & Fitness Walking Club Inc, and all other persons assisting in the organisation of the event, and shall so operate whether the damage or cause is due to any act or neglect of any of them.
………………………………Date……/……/2017 Signature (If under 18 signature of parent)
No entry will be accepted unless signed & dated.
Race Number will be provided by ACT Walkers.
EVENTS:
Mark With “X” Handicap
[ ] 1. Open 20 miles (32.187k) 8.00am [ ]
[ ] 2. Fitness 20 miles (32.187k) 8.00am [ N/A ]
[ ] 3. Mens&Womens AACT30K Chp8.00am [ N/A ]
[ [ 4. Womens Open&Masters 10m 8.00am [ ]
[ ] 5. Mens Open&Masters 10 miles 8.00am [ ]
[ ] 6. Fitness 10 miles (16.093k) 8.00am [ N/A ]
[ ] 7. Fitness 5 miles (8.047k) 9.00am [ N/A ]
[ ] 8. Mens U20 10 Kilometres 10.30am [ ]
[ ] 9. AACT Mens U20 10K Chp 10.30am [ N/A ]
[ ]10. Open (over 19 years) 10K 10.30am [ N/A ]
[ ]11. Womens U20 10k 10.30am [ ]
[ ]12. Boys Under 10 1Kilometre 11.40am [ ]
[ ]13. Girls Under 101Kilometre 11.40am [ ]
[ ]14. Boys Under 12 2 Kilometres 11.50am [ ]
[ ]15. Girls Under 12 2 Kilometres 12.10pm [ ]
[ ]16. Boys Under 14 2 Kilometres 12.30pm [ ]
[ ]17. Girls Under 14 2 Kilometres 12.50pm[ ]
[ ]18. Boys Under 16 3 Kilometres 1.10pm[ ]
[ ]19. Girls Under 16 3 Kilometres 1.35pm[ ]
[ ]20. Boys Under 18 5 Kilometres 2.00pm[ ]
[ ]21. Girls Under 18 5 Kilometres 2.00pm [ ]
[ ]22. Womens 5 Kilometres 2.40pm [ ]
Racewalking Australia Individual & Team events:
1, 4, 5, 8, 11to 22
NOTE: Handicaps to be entered by your club.
Entries Close with your Club Secretary :
Saturday 20 May 2017
Entry Fees : Racewalking Australia & ACT Walkersevents$35.00 with a maximum of $60.00 per person.
Athletics ACT Championships $20.00.
Fitness Walks –$20.00.
PAYMENT DETAILS :
Event Fees
Racewalking Australia& ACT Walkers
@ $35.00 $ ..….……
@ $60.00 $ …………
AthleticsACT(AACT) @ $20.00 $ …….….
Fitness Walks @ $20.00 $ …………..
TotalAmount Payable $……......
PRESENTATIONS
Attending Presentations Yes / No Number Attending [ ]
Do you think you will you have a meal at the Presentation venue? Yes / No Number Dining [ ]
GENERAL INFORMATION:
Venue: Stromlo Forest Park, Opperman Avenue / McInness Road. Mostevents have a common start / finish line.
Courses: All events will be conducted clockwise on a 1kilometre circuit on the cycling criterion track on a smooth surface and a minimal rise at one end.
Automatic timing and results will be introduced through the use of a timing chip to be attached to your chest number.
Agefor all Racewalking Australia events is age on theday, and for Athletics ACT Championships age is
as at 31 December 2017.
Check-In: Walkers must check in at the Check-In Tent at least 20 minutes before the start time of their event. Team Managers must also advise of scratchings.
Toilets & Showers:Toilets and showers are located in the centre of the Administration Block near the track.
Uniforms:Racewalking Australiaevent competitors MUST wear their walking club uniform or be subject to disqualification.
Protests:Protest must be lodged with the Meet Director within 30 minutes of the finish of the event in dispute, with a cash fee of $20.
First Aid:First Aid will be provided by a qualifiedpractitioner.
Massage:It is hoped that massage practitioners will be available.
Canteen:The canteen will operate from 8.00am.
Masters: Commencement age for both Men & Women is 35+ for all Racewalking Australia Events.
Running Gear:The Canberra Runners Shop, Townsend Place, Phillip, a long-timesupporter of ACT Walkers, will be open for business over the long weekend for all your running needs.
Barrel Draws: There will be a number of barrel draws for both walkers and volunteers.
Presentations of Awards:Will be at The Hellenic Club of Canberra, Matilda Street, Woden commencing at 7.30pm.
Meals:Are available in the Club - with the choice of three venues – Bistro, Chinese & Greekfrom 6.00 pm. HOWEVER MEALS CANNOT BE TAKEN TO THE PRESENTATION AUDITORIUM. Visitors are free to use the club facilities and EFTPOS and Credit Cards are accepted.
There are also a number of eateries near the Woden Plaza a short distance from the Club.
Accommodation:
There are two hotels located in Woden (Phillip) – Quality Hotel, Cnr Melrose Dr & Launceston St, and Adobe Apartment Hotel, 10 Bowes St.
Other accommodation options can be found on this web site
ACT Walkers Website:
ACT Walkers
presents the
51stAnnual Lake Burley Griffin Walking Carnival
CANBERRA SUNDAY 11 JUNE 2017
Stromlo Forest Park
Opperman Drive / Dave McInness Road
ENTRY FORM