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Goldseekers - ASSA Australia Sleddog Sports Association

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					                        GoldSeekers “The Gold Rush”

                                   JUNE : 25th – 26st 2011
                        Saturday NIGHT & Sunday MORNING
                        Kooyoora State Park – INGLEWOOD
                                           (Melways 627 A/B8)


CLASS (breed: Mallie        Sibe   Other     Note: Separate Entry required per musher for Insurance purposes
1 DOG         2 DOG             3 DOG        PEE WEE / MINI PEE WEE - ENTRY MUST BE ON
(2.9km)       (4.6km)          (4.6km)       SEPARATE ENTRY FORM
4 DOG          6 DOG
(6.8km)       (6.8km)
                                             Name………………………….……………….…………..
                                             Address……………………………………………..……..
TOURING (2.5km) - CIRCLE CLASS
Junior / Novice / Veteran 1-dog
                                             …………………………………………….. P/Code……..

Touring 2-dog / 1-dog                        Phone………………………………………………………
                                             Mobile………………………………………………..….…
Puppy (same time as kids)

PeeWee         Mini PeeWee - with adult      E-Mail………………………………………………………

                                       ENTRY FEES
1, 2, 3, 4 and 6 Dog Class @ $30.00 for initial entry                           x..…. entries $.............
Subsequent Classes, Touring, Junior & Novice @ $15.00 per entry x..…. entries $.............
Puppy, Pee Wee + Mini Pee Wee @ $5.00 per entry                                 x..…. entries $.............
Park Fee $2.00 per family (ALL TO PAY)                                          (per family) $2.00
Non-ASSA Insurance Fee @ $5.00 per person (n/a pee wees)                            @$5.00 $5.00insure
Saturday night: Dessert @ $10.00 per musher                                      x….. each $.............


NOTE: DESSERT MUST BE PRE-ORDERED due to catering purposes

                                                                        Total payable           $..............

                                                                                      Page 1 of 2
                                           Insurance Details

 $5.00 insurance for non-ASSA members is required if you are not a current ASSA individual
                          or family member as at 26th May 2011.



entry close date: FOR LOGISTIC REASONS ENTRIES ARE DUE BY 14th JUNE 2011

Cheques made payable to:
GoldSeekers
c/- 6 Dove Court
WERRIBEE VIC 3030

Due to having to continually chase mushers for entry fees we will NOT be
accepting BPay payments. We need payment so we can pay for equipment
hire and all other costs associated with putting on our race.

      Do you wish to receive updates via e-mail




All enquiries to:

Cheryl Taylor (03) 9741-8839

EMAIL:         goldseekers1@yahoo.com.au



I agree to run under the rules governing the race and shall abide by any official decision made at the race.
I shall not hold the sponsoring/organizing bodies or individuals liable for any accident that may occur
during the race. I am responsible for the actions and behaviour of my dogs, my handlers and myself. I
understand that sled dog sport may be dangerous.

Musher Signature………………………………………………………………………………………………..…….
                      (if under 18 years of age Guardian to sign)



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