Category (Age as at 31st Dec 2017)*
                                
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                                Entry fee
                                
                                
                                
                              
                              
                                
                                
Personal Details
                                
                                
                              
                              
                                ID No:*
                                
                                Please fill in your ID number
                                
                              
                              
                                Date of Birth*
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                                Gender*
                                
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                                First Name*
                                
                                Please fill in your name.
                                
                              
                              
                                Surname*
                                
                                Please fill in your surname
                                
                              
                              
                                Your Email*
                                
                                Please fill in your email address.
                                
                              
                              
                                Region*
                                
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                                Please specify nationality
                                
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                                Passport No.
                                
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                                Cellphone*
                                
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Medical and Emergency Information
                                
                                
                              
                              
                                Do you have Medical Aid?*
                                
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                                If no medical aid details are supplied, riders will be taken to the closest provincial hospital, in the event of a med emergency.
                                
                                
                              
                              
                                Medical Aid Name*
                                
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                                Medical Aid Number*
                                
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                                Emergency Contact Name*
                                
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                                Emergency Contact No.*
                                
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                                Kit Size*
                                
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                                Buy GRE cycle jersey
                                
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                                Book bike technical backup
                                
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                                Book 30 minute massage session
                                
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                                Spectators Meal Ticket
                                
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Entry
                                
                                
                              
                              
                                Total:
                                0.00 
                                
                                
                              
                              
                                Where did you hear about the GR300?*
                                
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                                Other: Please specify*
                                
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                                How many stage races do you ride per year?*
                                
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                                How long will you stay in Knysna?*
                                
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                                Other: Please specify*
                                
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