Routeburn Classic 2021 – Registration Form It’s time for adventure friend. But first take a quick quiz. Reckon you will know most the answers. Get in there. Routeburn Classic 2021 - Registration Form Individual or Group Entry?*IndividualGroupGroup Name*The group name is used to help organisers, get creative!How many in group?*2345678910Person 1 DetailsFirst Name*Last Name*Email* Phone*Gender*MaleFemaleRace Category*Peak Performer 18 - 39 ($250)Master 40 - 49 ($250)Legend 50 - 59 ($250)Guru 60 + ($250)Fountain of Youth 70 + ($250)What city/town are you from?*How many Routeburn Classics previously completed?01234567891011121314151617181920T-Shirt Size*SmallMediumLargeXL(t-shirts are unisex sized)Sock Size*Mens SmallMens Medium 9 -11Mens - Large 10.5 - 12Womans SmallWomans Medium 7.5 - 9Womans Large 9.5 - 11Medical ConditionsAny allergies to medications? Person 2 DetailsFirst Name*Last Name*Email* Phone*Gender*MaleFemaleRace Category*Peak Performer 18 - 39 ($250)Master 40 - 49 ($250)Legend 50 - 59 ($250)Guru 60 + ($250)Fountain of Youth 70 + ($250)What city/town are you from?*How many Routeburn Classics previously completed?01234567891011121314151617181920T-Shirt Size*SmallMediumLargeXL(t-shirts are unisex sized)Sock Size*Mens SmallMens Medium 9 -11Mens - Large 10.5 - 12Womans SmallWomans Medium 7.5 - 9Womans Large 9.5 - 11Medical ConditionsAny allergies to medications? Person 3 DetailsFirst Name*Last Name*Email* Phone*Gender*MaleFemaleRace Category*Peak Performer 18 - 39 ($250)Master 40 - 49 ($250)Legend 50 - 59 ($250)Guru 60 + ($250)Fountain of Youth 70 + ($250)What city/town are you from?*How many Routeburn Classics previously completed?01234567891011121314151617181920T-Shirt Size*SmallMediumLargeXL(t-shirts are unisex sized)Sock Size*Mens SmallMens Medium 9 -11Mens - Large 10.5 - 12Womans SmallWomans Medium 7.5 - 9Womans Large 9.5 - 11Medical ConditionsAny allergies to medications? Person 4 DetailsFirst Name*Last Name*Email* Phone*Gender*MaleFemaleRace Category*Peak Performer 18 - 39 ($250)Master 40 - 49 ($250)Legend 50 - 59 ($250)Guru 60 + ($250)Fountain of Youth 70 + ($250)What city/town are you from?*How many Routeburn Classics previously completed?01234567891011121314151617181920T-Shirt Size*SmallMediumLargeXL(t-shirts are unisex sized)Sock Size*Mens SmallMens Medium 9 -11Mens - Large 10.5 - 12Womans SmallWomans Medium 7.5 - 9Womans Large 9.5 - 11Medical ConditionsAny allergies to medications? Person 5 DetailsFirst Name*Last Name*Email* Phone*Gender*MaleFemaleRace Category*Peak Performer 18 - 39 ($250)Master 40 - 49 ($250)Legend 50 - 59 ($250)Guru 60 + ($250)Fountain of Youth 70 + ($250)What city/town are you from?*How many Routeburn Classics previously completed?01234567891011121314151617181920T-Shirt Size*SmallMediumLargeXL(t-shirts are unisex sized)Sock Size*Mens SmallMens Medium 9 -11Mens - Large 10.5 - 12Womans SmallWomans Medium 7.5 - 9Womans Large 9.5 - 11Medical ConditionsAny allergies to medications? Person 6 DetailsFirst Name*Last Name*Email* Phone*Gender*MaleFemaleRace Category*Peak Performer 18 - 39 ($250)Master 40 - 49 ($250)Legend 50 - 59 ($250)Guru 60 + ($250)Fountain of Youth 70 + ($250)What city/town are you from?*How many Routeburn Classics previously completed?01234567891011121314151617181920T-Shirt Size*SmallMediumLargeXL(t-shirts are unisex sized)Sock Size*Mens SmallMens Medium 9 -11Mens - Large 10.5 - 12Womans SmallWomans Medium 7.5 - 9Womans Large 9.5 - 11Medical ConditionsAny allergies to medications? Person 7 DetailsFirst Name*Last Name*Email* Phone*Gender*MaleFemaleRace Category*Peak Performer 18 - 39 ($250)Master 40 - 49 ($250)Legend 50 - 59 ($250)Guru 60 + ($250)Fountain of Youth 70 + ($250)What city/town are you from?*How many Routeburn Classics previously completed?01234567891011121314151617181920T-Shirt Size*SmallMediumLargeXL(t-shirts are unisex sized)Sock Size*Mens SmallMens Medium 9 -11Mens - Large 10.5 - 12Womans SmallWomans Medium 7.5 - 9Womans Large 9.5 - 11Medical ConditionsAny allergies to medications? Person 8 DetailsFirst Name*Last Name*Email* Phone*Gender*MaleFemaleRace Category*Peak Performer 18 - 39 ($250)Master 40 - 49 ($250)Legend 50 - 59 ($250)Guru 60 + ($250)Fountain of Youth 70 + ($250)What city/town are you from?*How many Routeburn Classics previously completed?01234567891011121314151617181920T-Shirt Size*SmallMediumLargeXL(t-shirts are unisex sized)Sock Size*Mens SmallMens Medium 9 -11Mens - Large 10.5 - 12Womans SmallWomans Medium 7.5 - 9Womans Large 9.5 - 11Medical ConditionsAny allergies to medications? Person 9 DetailsFirst Name*Last Name*Email* Phone*Gender*MaleFemaleRace Category*Peak Performer 18 - 39 ($250)Master 40 - 49 ($250)Legend 50 - 59 ($250)Guru 60 + ($250)Fountain of Youth 70 + ($250)What city/town are you from?*How many Routeburn Classics previously completed?01234567891011121314151617181920T-Shirt Size*SmallMediumLargeXL(t-shirts are unisex sized)Sock Size*Mens SmallMens Medium 9 -11Mens - Large 10.5 - 12Womans SmallWomans Medium 7.5 - 9Womans Large 9.5 - 11Medical ConditionsAny allergies to medications? Person 10 DetailsFirst Name*Last Name*Email* Phone*Gender*MaleFemaleRace Category*Peak Performer 18 - 39 ($250)Master 40 - 49 ($250)Legend 50 - 59 ($250)Guru 60 + ($250)Fountain of Youth 70 + ($250)What city/town are you from?*How many Routeburn Classics previously completed?01234567891011121314151617181920T-Shirt Size*SmallMediumLargeXL(t-shirts are unisex sized)Sock Size*Mens SmallMens Medium 9 -11Mens - Large 10.5 - 12Womans SmallWomans Medium 7.5 - 9Womans Large 9.5 - 11Medical ConditionsAny allergies to medications? Emergency Details - Group or IndividualEmergency Contact Name*Emergency Contact Phone*Registration Collection Registration for the event is in Queenstown Outside Sports between 12pm and 6:30pm OR in Te Anau at Outside Sports on Main Street between 12pm and 6.30pm on Friday 23rd of April. Registration in Te Anau closes just before the briefing at 700pm. Compulsory Gear check will be held at Outside Sports when you register. If you wish to register in Te Anau please specify either when you enter or by email so your pack is there.Where will you collect your race pack?*Queenstown Te AnauDonationDart River Trust - Bring back the bird song. Trust goal to reestiblish kiwis in the Routeburn and Dart valleyNo Contribution$10$20$50$100PaymentRegistration Total Cost $ 0.00 Coupon Credit Card Card Details Cardholder Name Billing Address* Street Address Address Line 2 City ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Consent* I agree to the terms and conditionsEmailThis field is for validation purposes and should be left unchanged.