S2M – 4th + 5th May 2018 – Entry Form

2018Wawwa (1)

S2M Event Registration Form

    This year we will have 2 options to choose from:

  • Option 1:

    Two Day Non Competitive Stage Event - 4th + 5th May 2018 – Merweville 2 Sutherland 2 Merweville

    Cost per entry: R3000.00 Individual Entry | R15 000.00 Team Entry - 5 riders


    Option 2:

    S2M Normal Route (5th May 2018 at 8am)

    Cost per entry: R2250.00 Individual Entry | R11 250.00 Team Entry - 5 riders


    Each rider must please complete and submit an entry form.
    Rider's in a team can provide us their Team name in the relevant field below.

  • Personal Information

  • MEDICAL INFORMATION

  • ADDITIONAL INFORMATION

  • INDEMNITY

  • I herby warrant and acknowledge:

    • - That my general health is good and that there is nothing which renders me unfit to participate in this mountain bike ride.
    • - I warrant that I have valid travel and medical insurance for the duration of the race.
    • - I understand and appreciate fully that there may well be risks, hazards and dangers involved to which I could be subjected to, more particularly:
      1. 1. I will be cycling on tar and gravel roads. It is my responsibility to cycle safely on these roads. Gravel roads are uneven and rocks and other foreign objects may be on the roads. There may be holes and sand on the roads. it is my sold responsibility to makes sure that I cycle safe under any circumstance.
      2. 2.I will always cycle with a quality approved cycling helmet
      3. 3.I am aware that I may fall or have an accident and that I will be personally responsible for any medical,legal or other costs because of such an accident.
      4. 4.I am aware of the potential dangers of exposure to the sun, directly or indirectly and that serious sunburn may result from unprotected exposure.
      5. 5.I am aware that due to bad weather, cycling can become dangerous and that The Wawwa Foundation can at any time cancel the ride under such circumstances. Wawwa will not be responsible for refunds or possible postponements in this event.

    I/we confirm that I/we, and all team members are 18 years of age or older as at 01 January 2017. Participants undertake to participate entirely at their own risk and agree that they shall have no claim whatsoever against the organising body, any individual organiser or official, marshal, assistant, helper or agent, the sponsors or any local authority or their employees, in respect of any loss or damage whatsoever which a participant may suffer, arising from any injury to person or loss or damage to property as a result of, or arising out of, whether directly or indirectly, participation in any event, including that persons arrival thereat and departure there from and attendance at any ceremony or function thereof, howsoever such loss or damage may arise and regardless of whether or not same shall have been caused directly or indirectly, by negligence, albeit gross, of one or more or all of the aforementioned parties.


    I confirm that I understand the importance and the meaning of this liability disclaimer, the waiver of claims and indemnity and, that by agreeing hereto, I am waiving substantial legal rights (on my own behalf and behalf of my dependants). I acknowledge that I have been free to secure independent legal and / or other advice, or dispense with the necessity of doing so.

  • PAYMENT

  • Capitec Bank / Account Holder: Wawwa / Account Number: 1334572109
    Branch Code: 470010 / Swift Code No: NEDSZAJJ

    Payment References:

    Please make the reference on your payment S2M2018 followed by your first name and last name e.g S2M2018JohnDoe.
    If you are entering as a team and would prefer to pay in full for all team riders, please make the reference on your payment S2M2018 followed by the team name, e.g S2M2018WawwaTeam
    Entrants must email the proof of payment to info@wawwa.co.za or fax it to 021903 2215.

 

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