Tour Stage Entry

  

Please use the boxes below to enter a Stage of the Tour of Two Rivers. It would be great if all entries could be submitted by the Thursday prior to the Race. Entries after the Thursday can not be guaranteed a start. So please get your entries in prior to the Thursday to avoid disappointment. All entry money will be paid on the day.

   Please do not enter any earlier than 2 weeks prior to each stage.

Name:
Club: (Cycle Club recorded on your Cycling Licence)

Other Club:
Race/Stage:
Categories:  

State Grade:

Suggested Grade:

Sex:

Age Category:
Please list any past results if you have not ridden an inter-club in the Riverina previously and or what bunch you ride in at Club level.
E-mail
   
Contact Phone Number: (Your Phone number will not be given to any other Parties. It will only be used to contact you in case there are issues that need to be discussed, like a late entry)