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Online Entry – Manzil Cycle Classic ’24
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Cycle Classic ’24 – 2 November 2024
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Name
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Surname
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Gender
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Select Gender
Male
Female
Date of Birth
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Email
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Contact Number
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Medical Aid
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Medical Aid Member Number
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Emergency Contact Person
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Emergency Contact Number
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Select Race Distance
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Select Distance
15 Km
40 Km
84 Km
15 Km @ R120
Select category:
Open
40 Km @ R200
Select category:
Open (18yrs +)
U15 (14 - 15yrs)
Ebike
MTB
84 Km @ R240
Select category:
U17 (16 - 17yrs)
Junior (17 - 18yrs)
U23 & Elite (19 - 29yrs)
Masters (30 - 39yrs)
Masters (40 - 49yrs)
Masters (50yrs +)
Ebike
MTB
CSA Licence Info
*
If you do not have a CSA licence, a temporary licence of R50 will be added to total cart.
I have a CSA Licence Number
I do not have a CSA Licence
CSA Licence Number
Add Temporary Licence @R50
Price:
TOTAL
Waiver of Indemnity
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I Agree
The above cyclist will not hold the organisers liable for any personal or material loss, damage or injury suffered during the participation in this event. The organisers and sponsors are indemnified from any such claim.
Manzil Cycle Classic '24 quantity
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