Apply to Join the "2019 Road to Motatapu Team"

.Applications are being accepted to join the 2017 Road to Motapapu Team (training to start in July 2017), in preparation for the Motatapu 2019 race on 10 March 2018.

Successful applicants will receive:

Bicycle and necessary safety equipment;
Cycle maintenance during training;
Event entry fees for lead up events and for Motatapu 2017 ; and
Travel to and from event and accommodation at Motatapu.

Apply below.

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of Birth *

Date of Birth

YYYY

Email Address *

Phone Number (mobile) *

Tell Us a Little About Yourself *

Tell Us Why You Want to Join the Road to Motatapu Team *

Referee - please provide details of a family member, friend or other person you know who will tell us a little about you and support your application to joint the Road to Motatapu Team for 2017.

Referee - Name *

Referee - Name

First Name

Last Name

Referee - Email *

Referee - Phone *

Relationship of Referee to You *