Registration SASDC Race 1 First Name *Last Name *Email Address *Phone *Street Address *City *State *Postal Code *Country *AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChina, People’s Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d’IvoireDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People’s Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People’s Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre & MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweDate of BirthAre you an SASDC Member? *YesNoSASDC Membership #Are you an ASSA Member? *All non-ASSA members will be charged a personal accident insurance cover fee upon entry for any events they participate in.YesNoASSA Membership #Total$Class Entry Novice is our entry level category, using a scooter and 1 dog only. Beginners may also enter Canicross. Please bring your own helmet if entering Novice, we will provide all other equipment. Check out what all the categories mean on our website > https://sasleddogclub.com.au/categories/First entry *Dogs must be 12 months old for ALL classes4 Dog Open (Rig) $35.003 Dog Open (Rig) $35.002 Dog Open (Scooter) $35.001 Dog Open (Scooter) $35.00Canicross Open (Running with your dog) $30.001 Dog Novice (Scooter) $35.001 Dog Bikejor Open (Bike) $35.002 Dog Bikejor Open (Bike) $35.001 Dog Open Junior (Scooter) $30.001 Dog Touring (Scooter social) $35.002 Dog Touring (Scooter social) $35.001 Dog Bikejor Touring (Bike social) $35.002 Dog Bikejor Touring (Bike social) $35.001 Dog Veteran (Scooter social for dogs over 7yo) $35.002 Dog Veteran (Scooter social for dogs over 7yo) $35.00First Season Entry $0.00Peewee (Children under 10) $5.00Peewee name & DOB *First Season Entry *Dog breeds *Enter the breed(s) of dogSubsequent entry? *YesNoSubsequent entry *Select all subsequent entries4 Dog Open $15.003 Dog Open $15.002 Dog Open $15.001 Dog Open $15.00Canicross Open $15.001 Dog Novice $15.001 Dog Bikejor Open $15.002 Dog Bikejor Open $15.001 Dog Open Junior $15.001 Dog Touring $15.002 Dog Touring $15.001 Dog Bikejor Touring $15.002 Dog Bikejor Touring $15.001 Dog Veteran $15.002 Dog Veteran $15.00Subsequent Season Entry $0.00Peewee (Children under 10) $5.00Peewee name & DOB *Subsequent Season Entry *Dog breeds *Enter the breed(s) of dogNB! If Canicross is selected as your first entry, additional classes cannot be added as the Canicross entry is discounted. If you wish to enter Canicross plus other classes, please select your other class as the first entry and Canicross as a subsequent entry.First entry *Dogs must be 12 months old for ALL classes4 Dog Open (Rig) $45.003 Dog Open (Rig) $45.002 Dog Open (Scooter) $45.001 Dog Open (Scooter) $45.00Canicross Open (Running with your dog) $35.001 Dog Novice (Scooter) $45.001 Dog Bikejor Open (Bike) $45.002 Dog Bikejor Open (Bike) $45.001 Dog Open Junior (Scooter) $35.001 Dog Touring (Scooter social) $45.002 Dog Touring (Scooter social) $45.001 Dog Bikejor Touring (Bike social) $45.002 Dog Bikejor Touring (Bike social) $45.001 Dog Veteran (Scooter social for dogs over 7yo) $45.002 Dog Veteran (Scooter social for dogs over 7yo) $45.00Peewee (Children under 10) $5.00Peewee name & DOB *Dog breeds *Enter the breed(s) of dogSubsequent entry? *YesNoSubsequent entry *Select all subsequent entries4 Dog Open $20.003 Dog Open $20.002 Dog Open $20.001 Dog Open $20.00Canicross Open $20.001 Dog Novice $20.001 Dog Bikejor Open $20.002 Dog Bikejor Open $20.001 Dog Open Junior $20.001 Dog Touring $20.002 Dog Touring $20.001 Dog Bikejor Touring $20.002 Dog Bikejor Touring $20.001 Dog Veteran $20.002 Dog Veteran $20.00Peewee (Children under 10) $5.00Peewee name & DOB *Dog breeds *Enter the breed(s) of dogNB! If Canicross is selected as your first entry, additional classes cannot be added as the Canicross entry is discounted. If you wish to enter Canicross plus other classes, please select your other class as the first entry and Canicross as a subsequent entry.Total$Will you be camping? *YesNoDue to Forestry SA regulations, there is a limited amount of raised fire pits allowed. Please apply for one here. You may assume your fire pit is approved unless we reach out to say otherwise. NOTE: No other fires are permitted. *YesNoBook your camping permit through the Forestry SA websiteIf you are planning to camp must book through the Forestry SA website here using the event code MC0012/25. Please be aware the rangers may be checking. On the spot fines will be issued if you do not have a permit. ***HIT THE TRAIL RAFFLE*** You’ve gotta be in it to win it, with over $800 in prizes to get you sorted on the trails this season! CaniX Kit – Backpack Kit – Dog Care Kit + heaps more! CLICK HERE TO VIEW PRIZESRaffle tickets1 ticket – $45 tickets – $1510 tickets – $2550 tickets – $40 (half book)100 tickets – $70 (full book)TotalWaiver, Release, & Assumption of Risks *I agree to abide by any decision of any race organiser or official with respect to any aspect of my participation in this event, including the right of any race organiser or official to deny or suspend my participation for any reason whatsoever. I assume all risks associated with participating in this event, including but not limited to: falls, contact with other participants and/or their dogs, the effects of the weather, including excessive heat, cold, and rain, all such risks being known and appreciated by me. Having read this waiver and knowing these facts and in consideration of your accepting my registration, I, for myself and anyone entitled to act on my behalf, waive and release the Australian Sleddog Sports Association (“ASSA”), South Australian Sled Dog Club, all members of the organising committee, all volunteers, all event sponsors and community partners, and their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event, even though that liability may arise out of negligence or carelessness on the part of the persons and/or entities named in this waiver. I hereby affirm that I have read this Waiver and Release and that I fully understand its contents.Waiver & Release – PHOTOGRAPHY *I HEREBY GRANT PERMISSION to all of the foregoing to use and distribute any photographs, motion pictures, recordings or any other record of this event containing my image for any legitimate purpose, including but not limited to: future event promotion and promotion of harness dog sports generally.Waiver & Release – PHOTOGRAPHY OF CHILDRENI HEREBY GRANT PERMISSION to all of the foregoing to use and distribute any photographs, motion pictures, recordings or any other record of this event containing my child’s image for any legitimate purpose, including but not limited to: future event promotion and promotion of harness dog sports generally.Acknowledgment of ASSA Rules *I hereby acknowledge and agree that I have read and consent to abide by the following documents publicly available here: ASSA Rules and Procedures ASSA Social Code of Conduct ASSA Sportsmanship Policy I understand that these rules and the ASSA Social Code of Conduct exist to promote the safety of all participants (human and canine) and understand that I must abide by these rules in order to participate in this event. I therefore understand and acknowledge that any non-adherence on my part to the within rules may result in sanctioning or my removal from the event grounds.PARENT/GUARDIAN NAME SIGNING *Total + $10 late fee, entries closed 22/05 at 11.59pm$EFT to: SA Sled Dog Club | BSB 325-185 | Account No. 04216239 | Reference: 'Race 1' and initials *Upload receipt of paymentChoose FileNo file chosenDelete uploaded fileSubmit
