Please fill in your ID number
Date of Birth*
Please fill in your name.
Please fill in your surname
Please fill in your email address.
Please specify nationality
Please fill in your contact number
Ladies Kit Size*
Mens Kit Size*
Medical and Emergency Information
Do you have Medical Aid?*
If no medical aid details are supplied, riders will be taken to the closest provincial hospital in the event of an emergency
Medical Aid Name*
Medical Aid Number*
30 Minute Massage
Terms and Conditions
The undersigned, by my (tick box) signature hereto:
- Confirm that I/we am aware of the physical requirements and risks present in this event.
- Confirm that I/we am in good health and consider myself/ourselves to be medically and physically able to participate in this event.
- Indemnify and hold harmless the organizers, Garden Route Events and all the participant sponsors and land owners including but not limited to MTO, Cape Nature, Bontebok National Park, Swellendam Municipality, Swellendam Tourism and the Field and Fork and Wildekrans Estate Wines against any and all losses, injury, damage, penalties and claims of whatsoever nature and howsoever arising from or connected with my participation in this event and whether or not such claims are caused by act of omission of Garden Route Events, or anyone else.
- Confirm that all the information as set out is correct.
Rider substitutions accepted until 1 Oct @ R100 admin fee per rider. Thereafter, no changes will be accepted. No changes to kit sizes will be affected after 1 Oct 2016. Refunds granted upon written requests only as follows: 80% refund before and up until 8 Sept, 2016. 50% refund until Friday 8 Oct 2016. Thereafter no refunds will be payable. No refunds or postponements. No exceptions. We confirm that we accept the Terms and Conditions and rules of entry. Enter and pay before 1 Oct 2016 to qualify for limited edition race branded item. Read race rules here
Please accept the Terms and Conditions