CGA Racewalk Trials Entry Form - 16 July 2017
Entry Fees
10km and 20km - R50, Grand master R25
3km and 5km (Youth and Sub-Youth ONLY) - R25
Temporary licence - R10

NB. Online entries close at 23:00 on Sunday 2 July 2017

Email address *
First Name *
Your answer
Surname *
Your answer
Date of Birth *
ID Number
Your answer
Gender *
Contact Phone Number *
Your answer
Distance *
Club name *
Type "No Club" if you're not a member of a club
Your answer
Province *
If "Other" province selected, please specify
Your answer
ASA Licence Number *
Type "Temp" if you do not have a licence
Your answer
Emergency contact name
Your answer
Emergency contact phone number
Your answer
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