Entry Form - 29 Nov - 1 Dec 2024 - Fouriesburg - 100km and 165km

Entry form-100km and 160km

* Indicates required field

Team Name *

Which distance do you want to enter for? *

100 km 165 km

For the 100 km distance ONLY: Type of Team *

Male Female Mix Teams

For the 165km distance ONLY: Type of Team *

Male Female Mix Teams

TEAM MEMBER 1
Captain and main contact person(minimum 12 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 *

ID Number *

Email *

Cel 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 *

ID Number *

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 3

Name *

First

Last

Gender *

Male Female

Age *

ID Number *

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 4

Name *

First

Last

Gender *

Male Female

Age *

ID Number *

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 *

How many paddles do you require? *

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 map in your hand, mouth or even put it down your pants. Rental cost: R200 per map board per 1-day race. *

Yes No

Payment Methods
ENTRY FEES:
100 km Adventure Race:
> R3000 per team of 2
> R6000 per team of 4

165 km Adventure Race:
> R3600 per team of 2
> R7200 per team of 4

Included in your entry fee: a well organised 100km and 165km adventure race, use of a stable 2-seater Fluid Synergy kayak and paddles, transition boxes and a finishers medal & lots of FUN!

Please make an EFT payment directly from your online bank account into the bank account below . NO direct deposits accepted.

PLEASE POP ME A WHATSAPP WHEN YOU HAVE ENTERED...JUST NAME AND TEAM NAME
0842407962
Please use your 'Team name' & 'cel number' as reference.

Send your proof of payment for the full amount to [email protected]

* NB NOTE: *
Postponement of races due to lockdown regulations:
Should a race be postponed due to lockdown regulations, all entries will automatically be transferred to the immediate next Expedition Africa 25km Adventure Race as per the 2023 Year Programme. If you can't attend the next race date you're welcome to send someone in your place by informing us of the replacements' details. NO refunds will be made.

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

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)

Entry Form - 100km and 165 km Adventure Race

Entry form-100km and 160km