2006 World Mountain Running Championship

Australian team runner application form

 

Name
Gender
Date of birth
Australian Citizen (yes or no)
Australian resident (yes or no)
Athletics club membership (yes or no)
Email address
Phone number(s)
Address

 

Best mountain running performances (where when and time)Attach list if needed
Best Aust Cross Country Championship/international cross country running performances
Best time in a marathon (where, when and time)
Best national/international performances in triathlon, duathlon or orienteering (where when and time)
Other relevant experience

 Please email this completed form to:

John Harding   jgharding@bigpond.com  or post to 42 Stanley St, Hackett ACT 2602

0r ring on (02) 6248 6905 to discuss faxing arrangements

Date form required: no later than Monday 8 May 2006

Date of race: 10 September 2006

Race web-site:  www.wmrt2006.org