River Challenge 20 October 2018
Obstacle and Golf Challenge Entry Form
Email address *
COMPETITIVE CHALLENGE - A race for the competitors! This race holds no less than 15 obstacles over a distance of 5 km. Individual and team prizes for 1st, 2nd and 3rd place finishers! Exclusive corporate hospitality area (bring your banners and flags) and the entry includes something to eat, coffee as well as a River Challenge gift). Event starts at 08:00
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FAMILY CHALLENGE - Suited to all fitness levels, the Family Challenge has been designed with first timers in mind and is a great introduction to Obstacle Course Racing. Let’s have some exceptional fun as a family, bring your grandmother and grandfather or come and join us as an individual! Event starts at 09:00
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YOUNG GUNS CHALLENGE - All Primary and High School learners from schools in and around Kuils River are welcomed by the Young Guns Challenge which consists of 15 obstacles (similar course to the Family Challenge). Come and show us what you’ve got! Event starts at 10:00
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GOLF CHALLENGE - If getting your hands dirty is not for you, then enter our 4 BBB Stableford Golf Challenge! One waterhole to quench your thirst as well as lunch and some adult beverages will be served at 13:00! Event starts at 08:00
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Banking Details
ACCOUNT NAME: Kuilsrivier Jeugtrust; BANK: Nedbank; BRANCH CODE: 198765; ACCOUNT NR: 1186038705; PAYMENT REFERENCE: Obstacle/Golf Surname and Name
Personal Detail
Please enter your Identity Number
Surname and Name *
Gender *
Contact Detail (Cell phone or Telephone Number) *
Emergency Contact Detail *
Medical Aid Name and Number *
Postal Address *
Team Members (if participating as a team)
Team Member 1: Surname; Name and e-mail address
Team Member 2: Surname; Name and e-mail address
Team Member 3: Surname; Name and e-mail address
Team Member 4: Surname; Name and e-mail address (only complete if you are not part of this team and only registering team members)
I understand that Kuilsrivier Jeugtrust is committed to conduct the event in a safe manner and holds the safety of participants in the highest regard and that KRJT attempts to reduce such risks and insists that all participants follow safety rules and instructions that is designed to protect the participants safety. I recognize and acknowledge that there are risks of possible injury to participants in the event, and I hereby voluntarily and irrevocable agree to assume the full risk of any and all injuries that I (or minor) may sustain as a result of participating in this event. I assume all risks and hazards incidental to such participating in the event, and I waive and indemnify that KRJT, it's officers, employees, agents and representatives, from any claim (of any nature) arising out of an injury to me (or minor) and from any and all claim arising out of or connected with my (or minor) participation in the event.
Please confirm that you have read and understand the indemnity *
A copy of your responses will be emailed to the address you provided.
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