Register Register for the Mt Everest Challenge Please note, this registration is to create your individual profile. Within this form, please select the option to create or join a team. Also, please note, for multiple accounts, multiple registrations are required. If you wish to purchase T-Shirts, the total you will be paying is the entry to the challenge + the cost of the T-Shirts Name* First Last Email* Password* Enter Password Confirm Password Strength indicator Year of Birth* Gender* Male Female Other Ethnicity*NZ EuropeanMaoriPacifikaAsianMiddle Eastern, Latin American, AfricanOtherPrior to this challenge, how many times per week did you participate in physical activities/exercise?*0-12-45-77+Which community do you live in?*BlenheimPictonRenwickAnakiwaGrovetownHavelockNgakuta BayŌkiwi BayRai ValleyRarangiSeddonSpring CreekTuamarinaWairau ValleyWardWoodbourneOtherRegistration Options*AdultChild (16 and Under)SeniorSponsorPlease select one - For multiple accounts, multiple registrations are required.Please enter the Coupon Code* Would you like to register a team?* Yes No Waiver* I have read and accept the Health and Safety disclaimer for this event. View the waiver Check out our amazing Marlborough Mount Everest challenge t-shirts.We are doing three order runs before, during and after the event. The shirts are $35 and are made from a 100% Polyester Micro Mesh Fabric, these are quick to dry, breathable, comfortable and keep you cool when you're out and about. These are made via a process called Dye Sublimation Printing and if the care instructions are followed, they will not fade, peel or crack like some of your other clothing. All sizes are UnisexXXS Price: $ 35.00 Quantity: Chest (CM) 88 Waist (CM) 73XS Price: $ 35.00 Quantity: Chest (CM) 93 Waist (CM) 73S Price: $ 35.00 Quantity: Chest (CM) 98 Waist (CM) 83M Price: $ 35.00 Quantity: Chest (CM) 103 Waist (CM) 88L Price: $ 35.00 Quantity: Chest (CM) 108 Waist (CM) 93XL Price: $ 35.00 Quantity: Chest (CM) 113 Waist (CM) 992XL Price: $ 35.00 Quantity: Chest (CM) 118 Waist (CM) 1043XL Price: $ 35.00 Quantity: Chest (CM) 123 Waist (CM) 110Total $ 0.00 This displays the total of your entry to the challenge + any T-Shirts you wish to purchase.We will email you when your t-shirt is are ready to be collected – we will also post information on the Facebook page. T-shirts can be collected from the Port Marlborough Pavilion or drop-offs by arrangement in Blenheim. Please contact [email protected] for arrangements. Please contact [email protected] to organise payment if you require the t-shirts to be delivered be couriered to you.Payment MethodPayPal Checkout American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name
