J-BAY WIND FARM MTB & TRAIL RUN 2019
EVENT DATE: Saturday, 29 June 2019

ONLINE ENTRIES CLOSE: Midnight on Tuesday 25 June 2019
R50 applies to all MTB entries received after 25 June
R30 applies to all Trail Run entries received 25 June

VENUE: Twin Valley Estate, Jeffreys Bay

LATE ENTRIES:
Friday 28 June from 16h00-18h00 at Cyclo Pro in PE
Saturday 29June from 06h00-07h30 at the Tent at Twin Valley Estate, Jeffreys Bay

Purchase an event t-shirt online here - https://forms.gle/Zj7S7SHhCVXuNTx99

EVENT ORGANISERS:
Arthur Joubert - 083 654 7101, arthur@tarprojects.co.za
Sue Smit - 0828642714, sue@peth.co.za

REGISTRATION & TIMEKEEPING:
Mountain Events

Title *
First Name *
Your answer
Surname *
Your answer
ID Number *
Please enter your SA ID Number
Your answer
Email Address *
Your answer
Gender *
Date of Birth (dd-mm-yyyy) *
MM
/
DD
/
YYYY
Age as of 31 December this year *
Your answer
Cell phone no. *
Your answer
Name of Medical Aid
Your answer
Medical Aid Number
Your answer
Name of next of kin *
Your answer
Contact number for next of kin *
Your answer
Home Province *
Select your event *
Next
Never submit passwords through Google Forms.
This form was created inside of Mountain Events. Report Abuse - Terms of Service