Aussie Viclas Nationals 2024 - Registration Form

Entrant Details

Full Name *

First

Last

Mobile Number *

Email *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Bike Registration Number *

Upload Bike Images *

Click or drag files to this area to upload. You can upload up to 2 files.

Images files allowed only

Registration Package

Registration Package (Select class from drop down box) *

Both street and elite classes include entrant bag and 1x t-shirt. The bag and t-shirt will be available for pick up from the registration booth on the day of the event. The street class includes a small area and does not include a powered site. The elite class includes a larger area and a powered site.

Aussie Viclas Nationals 2024 Selection Criteria

Please review the selection criteria prior to submitting registration.

AV Nationals Shirt (Included in registration package) *

Select size from drop-down. This is a shirt only available to entrants.

NOTE: This is an example only and will have the addition of sponsor logos.

Additional AV Nationals Shirt – ADULT

Select size from drop-down if you would like to purchase. This is a shirt only available to entrants.

Total

$0.00

Payment Details *

Card

Name on Card

Terms and Conditions Acceptance *

I have read, understood and agree to the terms and conditions outlined in the Aussie Viclas Nationals 2024 Entrant Agreement

Shirt Registration registration

Aussie Viclas Nationals 2024 Entrant Agreement

Registering does not provide automatic inclusion, the AV team will get back to you over the coming weeks with confirmation.

Entrant Details

Registration Package

Aussie Viclas Nationals 2024 Selection Criteria

Aussie Viclas Nationals 2024 Entrant Agreement

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