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:: Mpumalanga Polaris 2003 ::


To book for the Mpumalanga event, please do the following: sadcsac

1. Download the entry form ( Right mouse click and select "Save Target as.." )
2. Fill in your information
3. Attach it to an email and send to: polaris@relativity.co.za

* Download the Booking Form as a Word Document

( Right mouse click on the link above and select "Save Target as.." to save the booking form to your computer )

OR, you may book via the online entry form below:



Entry Fees  
Solo Entry
R250.00
Team Entry
R500.00
Under 21's Team
R420.00
Parent & Offspring
R460.00

 

 

 
Your total is:

 
* Must be completed
* Only required if Team
Payment Info
   


Account Name: Relativity Africa
Account Branch: First National Bank, Long Beach Mall
Account Number: 62030453774
Branch Code: 202309
I confirm I have made a payment,
as per the entry fees.
*
Confirm you have made a payment
Payment Reference :
* Your payment reference information.

Choose your Category:
A category is only formed with 6 or more teams.
Solo's and Teams compete in the same categories
*  

Team member 1
   
Title:
*
TEAM OR SOLO
Forename:
  Age: *On the day of the event
Surname:
*
Road
Suburb
Town
County/State
Country

*


This is the address we will use to send all "final details, therefore it is important that the address is correct. If you change address before the event please phone, write or email the new address or nominate to swap with your second team member.
Postcode
*
This makes the postie's job easier!
Tel:
   
Emergency Tel:
*
This is the number of a close relative, we will use this number in the event of an accident or if you go missing.
Email:
*
 
Any Medical condition
 
Please fill in any details of problems that may affect you during the event; e.g. Asthma, major allergic reactions, Heart conditions etc. Also ensure you fellow team member is aware of the problem and what to do in the case of a medical emergency.
Team member 2
   
Title:
*  
Forename:
  Age: *
On the day of the event
Surname:
*
Road
Suburb
Town
County/State
Country
*



*
As second team member we will not mail any details to you relating to this event. However we do need an accurate address for our safety records which we use during the Event.
Postcode
* This makes the postie's job easier!
Tel:
   
Emergency Tel:
* This is the number of a close relative, we will use this number in the event of an accident or if you go missing.
Email:
   
Any Medical condition
 
Please fill in any details of problems that may affect you during the event; e.g. Asthma, major allergic reactions, Heart conditions etc. Also ensure you fellow team member is aware of the problem and what to do in the case of a medical emergency.

Indemnity

I understand the severity of this event and the necessity for mountain biking experience to safely undertake it. I therefore do not hold Endurance Events Limited or Relativity Africa or any of its agents responsible for any damage or injury sustained to me or my property during the event. I have read the Rules & Conditions and agree to abide by them.

I accept the indemnity above: