SuNday by xiuliliaofz


									entry form
20 feBruary

                        New BalaNce
                        Half MaratHoN
                        8.30am Start

                        7kM fuN ruN/walk
                        9.20am runners Start   9.30am walkers Start
Individual / Family
Entry Form

Contact                                                                                                                         rACe nUmBer office Use only

 fIrSt nAme                                                                                              SUrnAme
 Street AddreSS                                                                                          SUBUrB/CIty/PoStCode
 Age                                                                                                     gender m/f
 emAIL                                                                                                   ContACt Phone nUmBer

Entries           eVeNt cateGory PLeASe tICk                          Adult - 7km                                Child - 7km                             Wheelchair - 7km

                                                                      half marathon run - 21km                   half marathon Walk - 21km               half marathon Wheelchair - 21km

                  do you HaVe a dISaBIlIty PLeASe CIrCLe                      yes      Any Special requirements?

I WISH TO COLLECT MY                 Les mills extreme
                                                                   Les mills hutt City             AmI Johnsonville               AmI Upper hutt               AmI Porirua
RACE PACK(S) FROM                    52-70 taranaki St
                                                                7 Pretoria St Lower hutt       Johnsonville Shopping mall      109 main St Upper hutt   3d kilkerran Place Porirua
PLEASE CIRCLE                         Wellington City
                                    AmI Paraparaumu                                                                            NB: collection for venues other than wellington city is on
                                                                     AmI masterton                Sport Wellington-kapiti
                                     Coastlands mall                                                                           thursday 17 and friday 18 february 10am - 6pm oNly.
                                                                111 Queen St masterton            14 Parata St Waikanae
                                      Paraparaumu                                                                              for more information go to

Family (other entrants’ details)
                   nAme                                                                                                                 Age                 gender m/f               rACe nUmBer
AdULt 2
ChILd 1
ChILd 2
ChILd 3
ChILd 4
ChILd 5
Please see the website for information on how to enter a team.
                                                                                                                                                                                     office Use only

Payment & Merchandise                                                                                     Medical
                                                                                                          the medical staff of the AmI round the Bays & new Balance half marathon
entrAntS                           no of PeoPLe                Per PerSon            totAL $
                                                                                                          wish to ensure proper care in the event of accident or illness during the
AdULt - 7km                                                    $20.00                                     event. If you have any current or recurrent medical conditions, if you are
                                                                                                          on medication, or if you have any allergies or reaction to medications
ChILd (Under 16)                                               $12.00
                                                                                                          please provide details with your entry below:
ChILd (Under 5)                                                free
fAmILy (2 adult, 2 children                                    $50.00
(Under 16))*
hALf mArAthon (16+ only)                                       $45.00

hALf mArAthon                      Club & membership #                                                      emergenCy ContACt nAme
+Athletics nZ member
                                                                                                            emergenCy ContACt nUmBer
SuBtotal 1

* Please add an additional $12.00 per child if more than two are attending on a family entry.
+Athletics Wellington receives a sanctioning fee for every entry to the half marathon. Please help us
to help Athletics Wellington by providing your club and membership number.
                                                                                                          Les Mills Membership Offer
                                                                                                          Les mills is offering a complimentary membership in the lead up to the
                                                                                                          big day, giving you access to classes, training squads, seminars and
Merchandise                            SIZe         Qty          PrICe               totAL $
                                                                                                          more. Would you like to take up this fantastic offer?*    YES       NO
Womens new Balance t-shirts                                      $40.00
Sizes available
                                                                                                          * By circling yes, you are giving authorisation for your contact details to be
                                                                                                          passed onto Les mills. for terms and conditions go to
Unisex new Balance t-shirts                                      $40.00
Sizes available

SuBtotal 2
                                                                                                          dId you PartIcIPate IN:
total aMouNt eNcloSed (SUBtotAL 1 + SUBtotAL 2)                                                               2005             2006           2007        2008             2009             2010

I hAve reAd And UnderStAnd thIS form (InCLUdIng the SAfety, LIABILIty,                                    PArentAL ConSent for PerSon(S) Under the Age of 18 yeArS
ImAgeS And PrIvACy SeCtIonS on the BACk PAge of thIS form) And I                                          I am the parent/guardian of the entrant(s) under 18 who is/are named on this form. I
ACCePt the rISkS of PArtICIPAtIon And Agree to the entry reQUIrementS.                                    have read and understood this form and the risks of participation and I confirm that
I UnderStAnd thAt there Are no refUnd of entry feeS Under Any                                             the entrant(s) accepts the entry requirements (parents and guardians should explain
                                                                                                          the safety provisions to children).

SIgned:                                                               dAte:                               SIgned:                                                          dAte:
 About the Event
the AmI round the Bays & new Balance half marathon is a                                   Race Packs
fun, inclusive run/walk/wheelchair event catering for people                              race packs must be collected in order to participate as they include your official race
of all abilities from non-competitive to competitive. the course                          number, personal timing tag and race day information.
starts at frank kitts Park and follows the waterfront bays over                           All participants are responsible for collecting their race packs from either Les mills
a 7km distance finishing at kilbirnie Park.                                               extreme or one of the other race pack collection points.
the 21km new Balance half marathon continues on around                                    the dates and times for the Les mills extreme collection are stated under ‘how to
the miramar Peninsular before turning back to kilbirnie Park to                           enter’.
join the party.                                                                           Collection from Les mills hutt City, AmI Johnsonville, AmI Upper hutt,
                                                                                          AmI Porirua, AmI Paraparaumu, AmI masterton, Sport Wellington-kapiti will be:
How to enter                                                                              thursday 17 and friday 18 february 10am - 6pm oNly.
All participants entering the fun run/walk must complete an official entry form or
register online.                                                                          Getting to and from the event
enter onLIne at                                                     Pre-register and you can use your AmI round the Bays or new Balance half
                                                                                          marathon race number to travel free on any tranz metro train (Paraparaumu, hutt
online entries close Wednesday 16 february 2011 at 5.00pm. remember to become a
                                                                                          valley and Johnsonville lines only).
heart racer and raise money for the heart foundation by getting your friends, family
and colleagues to sponsor your run/walk.                                                  Stay tuned to for more information about transport to and
                                                                                          from the event including carpool options and bus deals for participants.
enter By PoSt
Postal entries close Wednesday 9 february 2011 at 5.00pm. Please send your                What’s happening on the day?
completed and signed entry form plus your cheque made payable to: Sport
                                                                                          on the dAy LAte regIStrAtIonS And rACe PACk PICk UP
Wellington, Po Box 24-148, manners Street, Wellington 6142 by this date.
                                                                                          Late entries can be made at frank kitts Park
vISIt oUr offICe                                                                          7.30am – 8.20am – new Balance half marathon run
Sport Wellington, Level 2, 113 Adelaide road, newtown, Wellington until 5.00pm            7.30am - 9.00am – AmI round the Bays
tuesday 15th february 2011. Cash or cheque payments only. the Sport Wellington
office will be closed from december 24 2010 until January 10 2011.                        PerSonAL BAg CheCk
                                                                                          A complimentary bag check service will be at frank kitts Park for participants to
vISIt LeS mILLS eXtreme                                                                   check extra belongings. each bag checked should be no larger than a normal
from Wednesday 16 until Saturday 19 february we will be taking entries at Les mills       sized plastic shopping bag. Participants checking gear on the day do so at their
extreme, 52-70 taranaki Street. opening hours are as follows:                             own risk. All gear will be taken to the finish line and available for collection from
                                                                                          approximately 10.30am.
 Wednesday 16 february                                              11am - 3pm
                                                                                          rACe StArt on Jervois Quay
 thursday 17 february                                               11am – 2pm            8.30am half marathon starts (run, walk and wheelchair).
                                                                    4pm – 7pm             9.20am 7km runners race start.
                                                                                          9.30am 7km walkers race start.
 friday 18 february                                                 7.30am – 9.30am
                                                                                          nB: you must cross the start and finish line in order to record an accurate time.
                                                                    11am – 6pm
 Saturday 19 february                                               10am – 3.30pm         trAnSPonderS (Shoe tAgS)
                                                                                          your transponder is your personal timing device. It is a shoe tag which must be tied
new Balance and Shoe Clinic will be providing free gait analysis and shoe advice at       into your laces according to the instructions on the back of your race number. you
Les mills.                                                                                must have the transponder in place before you cross the start line and keep it on
                                                                                          until you have crossed the finish line. After the finish hand it to the officials. If you do
enter on the dAy
                                                                                          not have laces attach tag to shoe or ankle with a cable tie or twist ties (not provided).
Late entries can be made on the day at Shed 6 from 7.30am. registration will close at
8.20am for the half marathon and 9am for the 7km event. A late entry fee will apply       Please note: there will be a $25 fee charged for transponders
as follows:                                                                               (shoe tags) that are not returned.
 late eNtry feeS                                                    per person            WAter
 AdULt – half marathon                                              $55.00                It is recommended that all participants carry their own water bottle, especially if it’s
                                                                                          a hot day.
 AdULt - 7km                                                        $25.00
                                                                                          there is a water station at Balaena Bay for both the 7km and half marathon event
 ChILd (Under 16)                                                   $15.00                and extra stations along Cobham drive, Shelly Bay road and massey road for the
 ChILd (Under 5)                                                    free                  half marathon.

 fAmILy (2 adult, 2 children (under 16))*                           $55.00
                                                                                          PrIZe gIvIng And ACtIvItIeS At kILBIrnIe PArk
* Additional Child - $15                                                                  there will be entertainment at kilbirnie Park from 9.45am. this will include live
                                                                                          performances, Les mills demonstrations and children’s entertainment. food stalls
Merchandise                                                                               will also be offering a range of options.
new Balance event t-Shirts for the 2011 AmI round the Bays & new Balance half             11.30am (approximately) Prize giving will be held at kilbirnie Park.
marathon can be pre-ordered on this entry form or online at
merchandise will also be available to purchase at race pack collection (Wellington City   PhotogrAPhS
only) & on the day.                                                                       Supersport Images will be taking photos on the day.
                                                                                          visit to view and order photos.

 Supporting sponsors:
  About the Event
Prizes & Recognition
Will be available to download from the website. These will show your
name, race time and placing.
There will be plenty of spot prizes up for grabs. Keep a look out for the spot
prize boards located at Kilbirnie Park and stick around for the prize giving
where major spot prizes will be handed out.
NB: All prize winners must be present for the major spot prize draw on the                                                                                                                                        around
day to win. Any prizes not claimed will be re-drawn.
Results will be published in The Dominion Post on Monday 21st February
and available on the website after this date.

7km Course information
The event start is in the south-bound lanes of Jervois Quay (adjacent to                                                                             NB Half
Frank Kitts Park, Queens Wharf). The event will start at 9.20am for runners                                                         7km              continues
and 9.30am for walkers, so please allow plenty of time. Access to the                                                            FINISH
start area will be via Grey Street and Harris Street. We encourage use of
the Jervois Quay overbridge at Civic Square. The finish line is situated on
Kilbirnie Park. After finishing, please move swiftly through the finish area,
ensuring you remove your transponder. Due to road closure restrictions a
cut off start time of 9.50am will be in place. The starting point will close at
this time.                                                                                                          Important – Half Marathon participants
                                                                                                                    •	 The	road	will	remain	open	between	Troy	Street	roundabout	and	Shelly	Bay	Road.	

Half Marathon Course Information                                                                                       Please ensure that you stay on the footpath in this area.

The half marathon course will follow the same course as the 7km event, starting at                                  •	 Cobham	drive,	from	Wellington	Road	until	Troy	Street	will	be	closed	until	11.30am	
8.30am. It will then turn left onto the footpath along Cobham Drive, then left onto                                    at the very latest.
Shelly Bay Road, continuing into Massey Road. Runners will then turn at Point Gordon                                •	 Shelly	Bay	and	Massey	Roads	will	be	closed	until	12.00noon	at	the	very	latest.	
(approx. 400m north of Scorching Bay), run back along Massey and Shelly Bay Roads
                                                                                                                    •	 Event	staff	will	be	removed	from	the	course	from	1.00pm.
& Cobham Drive, left into Evans Bay Parade finishing at Kilbirnie Park. Water stations
and toilets will be located at various points along the course, see the website for                                 If you are still on course after these times you will be asked to move onto the footpath
details.                                                                                                            (or side of road if no footpath), for your safety and the safety of others please comply
                                                                                                                    with this request immediately.

Safety                                                                                                              •	 I	will	meet/pay	for	any	liability,	claims,	losses	or	expenses	incurred	by	Sport	Wellington	and	
                                                                                                                       caused by me in relation to the event.
•		 All	participants	must	attend	the	safety	briefing	10	minutes	prior	to	the	start	of	the	event	at	the	start	       •	 I	understand	that	there	is	no	refund	of	entry	fees	under	any	circumstances.
•	 Vehicles	may	be	on	the	course.	Ensure	that	you	comply	with	instructions	from	Police,	Fire	Service	
                                                                                                                    Images and Privacy
   or other event officials.                                                                                        •	 PHotos and IMages – I agree to being photographed, filmed, videoed or to have my image
•	 Be	responsible	for	your	own	safety	and	be	aware	of	risks	of	participating	on	a	public	road.	                        recorded in any way in connection with the event. I agree to Sport Wellington using any such
                                                                                                                       imagery in connection with the promotion and reporting of this event. I understand I am
•	 Abide	by	the	rules	of	the	road	at	all	times.	
                                                                                                                       entitled to request access to such images and to have copies of them at my cost.
•	 Dogs,	skateboards,	bikes,	scooters	or	rollerblades	are	NOT	allowed	on	the	course	due	to	the	risk	                •	 PrIvacy	–	In	completing	the	entry	form,	I	am	providing	Sport	Wellington	with	personal	
   of injury to participants.                                                                                          information. I understand this information will be collected and held by Sport Wellington and
•	 Race	numbers	must	be	worn	on	the	front	of	your	top	and	be	visible	at	all	times	so	that	we	can	                      used by its sponsors, employees, contractors and agents associated with the event for the
   identify you. This also allows you to be eligible for prizes.                                                       purposes of managing my entry in the event, disclosing relevant information to medical and
                                                                                                                       related personnel in the event that I receive medical treatment during the event, promoting
•	 Prepare	for	the	event	–	you	should	not	enter	unless	you	reasonably	believe	that	you	are	fit	
                                                                                                                       Sport Wellington and its events (including publishing results in the media, Sport Wellington
   enough to complete this event safely.
                                                                                                                       website, mail-out or other communication relating to the event).
•	 The	event	may	be	delayed	or	cancelled	in	case	of	dangerous	weather	conditions.	Stay	tuned	to	
   Newstalk ZB (1035am) for updates during the week of the event.                                                   I consent for the above purposes to the use and disclosure of my personal information under
•	 Any	participant	whose	conduct	is	inappropriate	or	unsafe	may	be	disqualified	and	asked	to	                       the Privacy act 1993.
   leave the event.                                                                                                 I have the right of access to such information, and to correct it by applying in writing to sport
                                                                                                                    Wellington at the address noted in this form.

Liability Waiver and Declaration                                                                                        Sun Smart
•	 I	agree	that	the	Wellington	Regional	Sports	Education	Trust,	its	directors,	officers,	employees,	
   contractors, race directors and other officials, marshalls, volunteers, sponsors, suppliers or                       Be SunSmart on your run or walk around the bays and
   agents (collectively called Sport Wellington) is (are) not liable for any act or omission in relation
   to the event which causes injury to me or damage to my property.
                                                                                                                        remember to Slip, Slop, Slap and Wrap.

                                 Join the race to help save lives
                                 Become a Heart Foundation Heart Racer. The Heart Foundation is the official charity for AMI Round the Bays & New
                                 Balance Half Marathon. Become a Heart Racer and fundraise for the Heart Foundation by getting your friends, family
                                 and supporters to sponsor you for taking part in this event. Go to the AMI Round the Bays website for details. All money
                                 you raise goes to the Heart Foundation to help us win the race against heart disease.

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