X-Country Course

Online Booking & Payment Form

IMPORTANT PLEASE READ BEFORE COMPLETING FORM:

  • Only complete this form once you have checked and booked the date by phone or text with Jan Lawrie on 0402 760 860.
  • Please complete a separate form for every rider who will be on the course.
  • A form needs to be completed by every rider, every time they use the course.
  • This online booking form replaces the paper form that was previously used.

"*" indicates required fields

Booking Information

Please complete a separate form for every single rider that attends the course.
Have you checked with Jan that the course is available on this date and been given the okay from her that your booking is confirmed? If not, do that before completing this form please.
Select date DD slash MM slash YYYY
What is your estimated start time?*
:
Will you be the only rider on the course or is this part of a group booking?*

Contact Information

Rider Name
Rider Age

Pay online

Direct deposit is no longer an option, all XC hire fees are to be paid by card on this form

Disclaimer

By checking the consent box below and submitting this form, I confirm having read and understood the contents of the following disclaimer.*
This field is for validation purposes and should be left unchanged.