Registration Form

Your email Address*

Team Name*

Please make sure this matches what your partner enters so we can match your application.

Racer name*

Your First Name Your Last Name

Partner First Name Partner Last Name

Entry type*

Age*

Nationality*

Address Line 1 Address Line 2 City County / State / Region ZIP / Postal Code Country

Gender*

Male
Female

Weight (kg)*

Height (cm)*

Any medical issues or heart conditions in the last 5 years?*

First aid and safety experience*

Operate satellite phone
Operate SPOT tracker
Basic first aid (breathing, bleeding, breaks, burns, climatic injuries – hypothermia, heat exhaustion)
No first aid or safety experience

First aid and safety experience*

As you have selected ‘no’ to a required first aid skill/ preparation, please confirm that if you are successful in your application to race, you will gain these skills before the race date.

I will gain the required experience
I will not gain the required experience

Have you completed the Yukon River Quest or Yukon 1000 previously?*

Note that this is completed, not attempted completion

Yes - Yukon River Quest
Yes - Yukon 1000
No

Relevant experience*

(Races you’ve done, expeditions, adventures, outdoor adventure racing, living off grid etc)

Knowledge and experience gaps*

What are your knowledge/ experience gaps and how do you plan to address these?

What’s your story?*

Any other relevant information you think we should know? or things you would like to share with us?

Have you read our GDPR data policy ?
Send me updates about Yukon 1000 Races. (You can always opt out later)

Name

This field is for validation purposes and should be left unchanged.

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