Name *

First Name

Last Name

Date of Birth

MM

DD

YYYY

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

How are you getting here? *

Driving

Need a lift

Can drive but open to getting a lift

Need a pick up from Gold Coast Airport

If driving, what type of vehicle will you be using?

2WD

4WD

AWD

If driving, will you be able to offer a lift to other participants nearby to your place of departure or en route?

Not able to

1 Seat available

2 Seats available

3 Seats available

Next of kin or person to be notified in an emergency: *

First Name

Last Name

Do you have any dietary restrictions? *

None

Vegan

Vegetarian

Gluten Free