SURNAME

FIRST NAME Initials:

CONTACT NO

ID NO : AGE :

MALE ALLERGIES

VENUE : WINGS AIRFIELD , N6 TO MACLEANTOWN START TIME : 08H00

PRE- RACE REGISTRATION : BUFFS CLUB - SATURDAY 26TH SEPTEMBER 12PM TO 2PM

RACE DAY LATE ENTRY & REGISTRATION STRICTLY : AT WINGS FROM 06:30 TO 07:45

55KM R 130 T-Shirt Size

30KM R 100

5KM EVENT R 50

ENTRY PROCEDURE

Fill in entry form - EFT/Bank Deposit to banking details below - email or fax entries and proof of payment to

details below

INDEMNITY

Signature of participant

Signature of

Guardian/Parent if minor:

PLEASE FILL IN ENTRY FORM AND EMAIL WITH PROOF OF PAYMENT BACK TO :

allen.cathi@gmail.com or Fax : 086 293 1535

CARSPARES MTB CLUB

NEDBANK

Acc No : 1045100064 Branch Code : 12631700

Date

The event will take place irrespective of weather conditions and will only be cancelled if deemed dangerous by the organisers. No

helmet no ride.

Only the first 250 entrants are eligible for the Race T-Shirt.

WINGS MTN BIKE CLASSIC - 27 SEPTEMBER 2015

POWERED BY : CARSPARES MTB

FEMALE

BANKING DETAILS :

Emergency Contact Person & No

RACE RULES

I, the participant of the WINGS MTN BIKE CLASSIC, Powered by Carspares take part entirely at my own risk, and agree, by

participation as well as by signature hereto, that I and my dependants will not hold the organisers, other participants, sponsors,

assistants or local authorities or any person associated with them responsible for any damage, loss or injury incurred whilst on this

ride.

No refunds on entry fees will be given under any circumstances.

RACE BOARD Numbers are to be returned to the organisers at the finish line.

RACE NO