Ambassador Form

Register here to become an ambassador

Parent name *

Parent name

First Name

Last Name

Parent Contact Email *

Parent Contact Mobile *

Which event is your local XRACE? *

CHILD

Child name *

Child name

First Name

Last Name

Please select the age of the child *

Hoodie+TShIRT Shirt Size?

SCHOOL DETAILS

Child School *

How many students are at your child's school? *

PARENT ADDRESS DETAILS

PLEASE ADD AN ADDRESS THAT A COURIER CAN DELIVER TO.

Street Address *

Suburb *

City *

Postcode *

Please let us know you motivation for being part of our Ambassador Program (optional)

(If you have previously enrolled in our ambassador program, you can skip this question).