Entry Form - 15 August 35km and 60km Die Bosveld

Entry form - 35km and 60km - Die Bosveld

60km ENTRY FEES:
> R1600 per team of 2
> R3100 per team of 4

35km ENTRY FEES:
> R1100 per team of 2
> R2100 per team of 4

* Indicates required field

Team Name *

Which Race? 35km or 60km *

2 Person Teams: Type of Team *

Male Female Mix Teams School Team - any combination of school kids, 18 years and younger

4 Person Teams: Type of Team *

Male Female Mix Teams School Team - any combination of school kids, 18 years and younger

TEAM MEMBER 1
Captain and main contact person(minimum 16 years old) If under18 years old an adult must take responsibility for the child and sign an indemnity form on behalf of the child on registration day.

Name *

First

Last

Gender *

Male Female

Age *

Email *

Cell number *

Next of kin Name and Number - Not someone participating in event *

Medical Aid Name and number - Say None of not applicable - for Emergencies *

TEAM MEMBER 2

Name *

First

Last

Gender *

Male Female

Age *

Email *

Next of kin Name and Number - Not someone participating in event *

Medical Aid Name and number - Say None of not applicable - for Emergencies *

TEAM MEMBER 3

Name *

First

Last

Gender *

Male Female

Age *

Email *

Next of kin Name and Number - Not someone participating in event *

Medical Aid Name and number - Say None of not applicable - for Emergencies *

TEAM MEMBER 4

Name *

First

Last

Gender *

Male Female

Age *

Email *

Next of kin Name and Number - Not someone participating in event *

Medical Aid Name and number - Say None of not applicable - for Emergencies *

Do you want rent life jackets? It is compulsory for the race to wear one while on the water - R50 per Life Jacket *

How many paddles do you require? You can also bring your own. *

Never Stop Performing Sports will be renting out MAP BOARDS for all the adventure racers out there. Racing with a map board on your bicycle makes it so much easier to navigate without having to hold the Google map in your hand, mouth or even put it down your pants. Rental cost: R200 per map board per 1-day race. *

Yes No

PLEASE POP ME A WHATSAPP WHEN YOU HAVE ENTERED...JUST NAME AND TEAM NAME
0842407962 - FRANCO

You will receievd your confirmation when we receive your POP.

Bank Details:
Standard Bank
EXP Africa
Account Number: 201995824
Branch Code: 001106
Business Current Account

Please use your 'Team name' & 'cel number' as reference.

Race Event Rules & Regulations
Read under 'EVENT RULES & REGULATIONS'

BY INDICATING YOUR ACCEPTANCE OF THIS AGREEMENT AND WAIVER, YOU ARE AFFIRMING THAT YOU HAVE READ AND UNDERSTAND THIS AGREEMENT AND WAIVER AND FULLY UNDERSTAND ITS TERMS.

These Event Rules & Regulations will also be signed by all team members (and a legal guardian in case of a child of 18 years and younger) at the on-the-day registration.

Does your team accept the Event Rules & Regulations? (Please share with your fellow team mates.) *

Yes No - (if you choose this option, you will unfortunately not be able to participate in this race)

Payment Methods
60km ENTRY FEES:
> R1500 per team of 2
> R3000 per team of 4

35km ENTRY FEES:
> R1000 per team of 2
> R2000 per team of 4

Included in your entry fee: a well organised 36km and 60km adventure race, use of a stable 2-seater Fluid Synergy kayak and paddles, a finishers medal & lots of FUN!

RENTAL OF LIFE JACKET (optional, sub. to avail)
> R50ea
RENTAL OF BICYCLE MAP BOARD (optional, sub. to avail)
> R200

Please make an EFT payment directly from your online bank account into the bank account below (the bank details will also be e-mailed to you). NO direct deposits accepted.

Send your proof of payment for the full amount to franco@expafrica.net.

We will send you a confirmation letter (please print this confirmation letter and bring it with you to the race or save it on your phone) to confirm your entry within 72hrs. If you haven’t received your confirmation letter you are NOT entered - please make sure that we have received your booking form and payment. - Please make contact if you don't receive letter within 48 hours.....

Entry Form - 35km and 60km Adventure Race

Entry form - 35km and 60km - Die Bosveld