Boven Roc Rally 2012 Registration
When? Saturday 22 to Monday 24 September 2012
Where? Tranquilitas Adventure Farm, Waterval Boven (www.tranquilitas.com)

Decide who will be competing as Team member # A and who will be Team member # B.
Both team members must complete one of these forms independently online.
Confirm the Team name BEFORE completing the form AND check the correct spelling with your partner please!

-  Difficulty Rules --> http://www.climb.co.za/pdf/boven_rr_dif_rules__2012.pdf

-  Program / Handicap Rules --> http://www.climb.co.za/pdf/boven_rr_program_hcap_rules__2012.pdf

Registration Fees – R350 per person
Youths, Students and MCSA members – R300
(This includes your high quality event long sleeve shirt, 2 x Suppers, Saturday & Sunday nights as well as breakfast rolls & coffee on Saturday & Sunday morning).

Make an EFT to the following account – preferably one transfer per team:
Roc and Rope Adventures
FNB Waterval Boven 270551
Acc # 62010263862
PLEASE USE YOUR TEAM NAME AS REFERENCE***

Entries close on 21 September 2012. Entries after 15 September may not get T-shirts.

All personal information will be treated as confidential.
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Your Details
First Name *
Last Name *
Email Address *
Contact Number *
Preferably your cell number.
Birth Date *
Please put in the following format yyyy-mm-dd e.g. 1977-05-20
Age (as of 22 September 2012) *
City
Province *
If "Other", please enter Country name.
MCSA / Student # / ID Number (for Registration Discount)
In order to qualify for a discount, please email us (climb@rocrope.com) an electronic copy of your ID (to show that you are a youth), valid student card or MCSA registration will be required.
Team Details
Do you have a climbing partner for the rally? *
If you dont have a partner then we'll help you look for one. Or simply tick this box if you want to get the T-Shirt, meals & join the fun!
Required
Team Name *
Please double-check & confirm the spelling of your Team Name
I will be competing as Team member
A & B are both the same. We just need to have the name associated to A or B for when we put in the score sheet. If you leave tis open, we'll allocate A & B on your behalf.
Clear selection
Emergency & Medical Details
Make sure that you have the right numbers for the MCSA Search and Rescue Teams handy when you head out into the mountains.
Emergency Contact Details
In case of an emergency.  Pease give us a name & contact number as well as your Medical Aid / Insurance Name & Number.
Contact Number of Next of Kin
In case of an emergency
I have a history of
This information will not be displayed publicly
T-Shirts
Your T-Shirt Size *
Not sure of your size? Send us your shoulder to shoulder width measurements of your favourite T-Shirt.
e.g. 40 cm.  That's shoulder to shoulder EXCLUDING the sleeves.
Food and drinks
A basic selection of drinks and snacks will be for sale during the event.
What are your food preferences? *
Boven Roc Rally & Handicap Information
Make sure that you read and understand the rules. If your grades change from registration to the start of the comp, you need to come and declare this before the Roc Rally starts on Saturday, 22 September.
I have read the rules and understand the terms REDPOINT, FLASH and ONSIGHT *
Required
Best REDPOINT in last 12 months *
Example: 21
Best ONSIGHT/FLASH in last 12 months *
Example: 19
Best REDPOINT in last 5 years *
Example: 24
Best ONSIGHT/FLASH in last 5 years *
Example: 19
I am currently...
You can select more than one option here.
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