Zinkwazi 2019

2019 Zinkwazi Race - Entry Form
Date of Birth:

Race Options

10KM RACE - SUP: Entry R250
10KM RACE - Prone: Entry R250
5KM FUN RACE: Entry R100
Includes SUPSA Fee.
EFT payment to: SUP Durbs Club, FNB acc. 62586675814, Florida RD Branch 220426. Use name as reference and email POP to info@supdurbs.co.za

INDEMNITY: In checking the box below, I agree that I am familiar with and fully understand all risks and hazards that exist in connection with the 2019 Zinkwazi Race. I further state that I hereby assume the risk and costs for any injuries and/or disabilities that I may sustain during my entry to the 2019 Zinkwazi Race. I hereby fully release and forever discharge the 2019 Zinkwazi Race, its officials, members, affiliates and sponsors that may result from any type of injury, disability or death, that I may sustain while participating in and/or attending and traveling to or from the 2019 Zinkwazi Race event. In signing below I also agree to abide by the constitution of SUP Durbs and SUPSA. These are available on our website, www.supdurbs.com

Signed by checking box Agree

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