Chris Hani Freedom Marathon Online Entries
Please complete one entry form per participant
First Name *
Your answer
Surname *
Your answer
ID Number *
Please enter your SA ID Number
Your answer
Gender *
Date of Birth (dd-mm-yyyy)
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Age on 31 December 2019
Your answer
Race Distance *
Age Category *
Cell phone no. *
Your race result with be SMS'd to this number when you cross the finish line. Please use international format, e.g. 27827654321
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Email Address
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Name of Medical Aid
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Medical Aid Number
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Name of next of kin
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Contact number for next of kin
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Signature
Please type your full name below
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Indemnity
Participants in this event and all functions and events related thereto take part entirely at their own risk and agree, by their participation as well as by their signature hereto, that they and their dependants do not have, and will not institute, any claims whatsoever against, and do hereby indemnify and hold harmless from all liability, Mountain Events, sponsors, organizers, other participants, individuals, officials, marshals, assistants, helpers, agents, contractors, landowners, local authorities or employees of such persons and any person associated with the even in respect of any loss whatsoever which participants may suffer arising from any cause at all, regardless of whether or not the same shall have been caused directly or indirectly by negligence, albeit gross, of any person. Persons signing this form for or as a guardian of a minor consent to such minor being bound by the aforegoing and further indemnify the organizers and aforementioned parties to the extent, if any, to which such minor is not bound
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