Rogaine Online Entry

Setanta Rogaine Ireland 2015
Entry Form

Latest date for receipt of entries is Wednesday 24th June 2015. Late entries may be accepted at the discretion of the organisers.

Please complete the entry form below.

Categories:
24 Hour Team
6 Hour Team
6 Hour Individual

  • 24 Hour Event: Competitors must take part in teams of two or more and all competitors must be at least 18 years of age on the day of the competition. No individual entries will be accepted.
  • 6 Hour Event: Competitors can take part as individuals or take part in teams of two or more and all competitors must be at least 18 years of age on the day of the competition.

Entry Fees
Early Bird Entry fees up to 17th May

  • 24-hour event - €40 per competitor.
  • 6-hour event - €25 per competitor.

Late Entry fees up to 21st June

  • 24-hour event - €50 per competitor.
  • 6-hour event - €32 per competitor.

Once you have verified the details on the next page, you will be redirected to PayPal for secure payment of the entry fees (either with a PayPal account or credit card).

Event *
24 Hour Rogaine (Team)
6 Hour Rogaine (Team)
6 Hour Rogaine (Individual)

Number of Entrants *


Competition Class *
Open
Mixed
Female
Veteran
Veteran Mixed
Veteran Female
Note Average age of veteran team members must exceed 40 years

Full Name *


Club

Age on Day of Event *


E-Mail Address *


Team Member 2 - Full Name *


Team Member 2 - Age on Day of Event *

+ Team Member 3

+ Team Member 4


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