Papakura Blue Light Trolley Derby Registrations

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Papakura Trolley Derby Register Below

Entry Fee $20 | Pre-Registration Only | Registrations must be received by Friday, 6th March 2026 | Only 20 entries are allowed per category

for Credit

Please tick the box that best describes you *

Name *

First

Last

Email *

Address

City

School

Select Class *

Completion of this entry form acknowledges you *

Have read and understand all of the T&C's above,
Give permission for the event organisers to use all material gathered and supplied, including photographs, for future promotional proceedings,
Understand that the $20 entry fee is non-refundable.

I agree for the contact details supplied to be added to the Blue Light database for promotional purposes *

Signature

Clear Signature