I would like to apply for elite assistance for which distance (required)
10km21km42km

First Name (required)

Surname (required)

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Nationality (required)

Your Email (required)

Phone Number (required)

For Australian applicants - name your state/territory

Please provide details of your best time over the past 18 months

Event / Race (required)

Date (required)

Time (required)

Direct website link verifying your results (required)

Please add any other relevant information to assist with your application