2021 Chivero Challenge “Live Again” Registration Form
The Chivero Challenge is an international, multi-disciplinary event designed to advance environmental preservation, sports recreation, tourism, health and wellness as well as grassroots sports development. Funds raised at the event will go to Kuimba Shiri Bird Park and Chivero Basin Conservancy.

2021 Sporting Challenges:

*Running (5,10,15 & 21km)
*Horse Riding
*Rowing
*Speed Boating
*Cycling
*Jet skiing
*Trail Riding (Motorcycling)

The 2021 challenge focuses on finishing the race and improving athletes’ time. The challenge attracts both professional athletes and amateurs from a broad range of abilities, interests and spectators. Positive impact and awareness will be created for Kuimba Shiri Bird Park, Lake Users Association, AYICC Zim, National Parks, Zimbabwe Tourism, Sports and Recreation, City of Harare and other Partners. For more information about the event contact:

Gary Stafford +263 772 226 635/ birdpark@mweb.co.zw

Jean +263 785 757 022/ ayicczim@gmail.com

Muku +263 717 577 958/ lakechiverochallenge@gmail.com

To participate in the 2021 Chivero Challenge, please complete the registration form below:

Email *
Full Name *
Nationality *
Country Based *
City *
Postal Address *
ID number *
Passport number (for those not based in Zimbabwe)
Date of Birth *
MM
/
DD
/
YYYY
Age on Event Day *
Gender *
Are you representing a Club, Company or Organizations? If yes, please name it *
Race entered *
Breeds of Horses (We have the following and you're advised to bring your own horses)
Clear selection
Distance
Clear selection
Category *
Occupation
Registration Fees Below 15 years
Clear selection
Registration Fees for Adults
Clear selection
Registration Fees for Corporates (5 Athletes constitute a team)
Clear selection
PAY CASH OR DEPOSIT YOUR FEES/ DONATION INTO THE FOLLOWING KUIMBA SHIRI BANK ACCOUNT: Account Name: Kuimba Shiri Bank Name: FBC Bank Branch: Private Account number: 6127542200278 PAYMENTS CAN BE MADE IN ZWL AT BANK RATE. *UPLOAD A COPY OF YOUR DEPOSIT SLIP.* NB: ENTRY FEES ARE NON-REFUNDABLE, TRANSFERABLE AND MAY NOT BE DEFERRED TOWARDS A FUTURE EVENT. Kindly email proof of payment to lakechiverochallenge@gmail.com ; cc: mathabiref@gmail.com
Do you require accommodation? (Please note it will be at your own expense, we will assist with arrangements and booking)
Clear selection
Overall gate entry if you are not participating in any sport is 5 USD or 500 ZWL per person. If you are a family of four there will be a discount of 10 USD or 1000 ZWL .
Clear selection
WAIVER : I know sports activities are potentially hazardous. I should not enter unless I am medically able and properly trained. I agree to abide by any decisions of the race official relative to my ability to safely complete the activity. I assume all risks associated with participating in this event including, but not limited to, falls, contact with other participants, the effects of the weather, including high heat or humidity, traffic and the condition of the road, all such risks being known and appreciated by me. Having read this waiver and knowing these facts and in consideration of your accepting entry, I, for myself and for anyone entitled to act on my behalf, waive and release CHIVERO CHALLENGE, all partners and sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event. I grant permission to all of the forgoing to use any photographs, motion pictures, recordings, or any other record of this event for any legitimate purpose. In consideration of the safety of all participants, no baby joggers, baby strollers, skateboards, iPods or skates will be allowed. *
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