Hampton Hoon Registration Form

Entries Close 13th August 2017

Hampton Hoon: Saturday 19th August and Sunday 20th August

Heat 1: Saturday 4pm (3pm Drivers Meeting Compulsory)
Heat 2: Sunday 6am (5.30am Drivers Meeting Compulsory)

One entry form per person. (Mini Pee Wee and Pee Wee class entries must be on a separate form to the adult)

More information is available here.

* Required Fields

Personal Details

Name: *
Team Name:
Address: *
Suburb: *
State: *
Post Code: *
Phone Number: *
Email: *

Entry Details

Entry #1: * Dog /s Names:
Entry #2: Dog /s Names:
Entry #3: Dog /s Names:
Entry #4: Dog /s Names:
Entry #5: Dog /s Names:
Entry #6: Dog /s Names:

Other Details

Would you like to volunteer at the race?:
Are you over 16 years old?: *
Are you a WASSA Member?: (A $10 fee applies if you are not a WASSA Member)
ASSA Number: (A $5 fee applies if you are not a ASSA Member but not required if you are a WASSA Member)
Payment method: *
Would you like to make a donation to the club?
Do you agree to the terms and conditions below?: *

Terms and Conditions:

Enquiries: committee@wassa.com.au