Your name
Your Mobile
Your email
Permission I hereby give permission for my child / myself to attend the 2024 “My Kids” Postie Ride. In the event of illness or accident I authorise the leader in charge of the event to consent, where it is impracticable to communicate with me, to the child / myself receiving such medical or surgical procedures as may be deemed necessary, and accept any responsibilities for payment of any expenses thus incurring. I agree
Your emergency contact name
Your emergency contact number
Do you have Ambulance Cover? YESNO
Your Medicare number
Please include any allergies below (optional)
If you have any allergies, do you require and agree to bring your own EpiPen? (optional) YESNO
Please include your dietary requirements below, if applicable (optional)
Media Disclosure I hereby, understand that I may be photographed, filmed and/or approached by media representation and by Bridge Builders Team during and after The Postie Ride. I understand any media released by Bridge Builders and/or by affiliated media representation may be used for current and future promotional purposes. I ACCEPT
Your coffee order (optional)
