Sunrise to Sunset 100km Magaliesbiosphere Women's Walk Entry Form

You can use the following form to contact us:

PLEASE NOTE: Entries are closed for 2019. You can however fill in your forms and secure your place for 2020 by paying a R500.00 deposit.

PARTICIPANT'S DETAILS:

Please specify participant name.
Please specify participant surname.
Please specify participant initials.
Please input your ID Number.
Please specify your cell phone number. (Example: +00 00 000 0000)
Please specify your Email Address.
Please specify your occupation.
Please specify your hometown.
Please select your T-shirt size.
Please specify whether you are a regular walker/hiker.
Please specify whether you are part of a hiking club.
Please tel us how did you find out about the Sunrise to Sunset walk.
Please specify whether you have walked the Sunrise to Sunset before. (Example: 2001, 2002...)
Please specify your motivation to walk the Sunrise to Sunset this year.

EMERGENCY DETAILS:

Please specify your emergency contact name.
Please specify your emergency phone number. (Example: +00 00 000 0000)
Please specify your emergency next of kin phone number. (Example: +00 00 000 0000)
Please specify your emergency next of kin email address. (Example: name@domain.co.za))
Please specify your doctor's name.
Please specify your doctors phone number. (Example: +00 00 000 0000)
Please specify your medical aid name.
Please specify your medical aid membership number.
Please specify which blood group you belong to.
Please specify whether you have any allergies.
Please specify whether you have any medical conditions.
Please specify required medicine for medical condition.
Please specify whether you have any dietary requirements.
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