KDAC Track Series
Held at DE BEERS ATHLETICS STADIUM
in collaboration with ATHLETICS GRIQUALAND WEST

REGISTRATION FORM

04 AUGUST 2021

EVENT STARTING TIME - 16H00

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Email *
Clear selection
REGISTRATION COSTS per athlete and per coach *
R50.00
PERSONAL INFORMATION
Are you a? *
Full Name(s) *
Surname *
ID Number *
Date Of Birth *
MM
/
DD
/
YYYY
Gender *
Cell Phone Number *
Do you have a 2021 AGW (ASA) Licence Number? *
If Yes, what is your 2021 AGW (ASA) Licence Number? *
SELECT THE EVENT(S) YOU WANT TO COMPETE IN *
Personal best time for event(s) you are entering (Eg: 800m - 2.00) *
Seasons best time for event(s) you are entering *
Club/School Name *
ENTRY FEE - to be paid into the bank account of AGW or in cash during office hours before the event *
RULES AND REGULATIONS *
1.  AGW, ASA & Word Athletics rules and regulations to be followed.                                                                                                            2.  Stadium requirements to be followed.                                                                                                                                                             3.  Only online pre-entries - NO ENTRIES ON DAY OF COMPETITION.                                                                                                         4.  Only athletes with a permanent ASA 2021 Licence number or AGW Temporary Licence number will be allowed to enter the                                                                                                                          stadium.                                                                                                                                                                                                                    5.  Athlete(s) younger than 18 will not be allowed in the Stadium without receipt of the indemnity form from the parent(s).                                                   6.  Athlete(s) and coaches can only enter the Stadium on the time the athlete received prior to the event.                                               7.  Athlete(s) and coaches must vacate the Stadium immediately after the event.                                                                                             8.  TEMPORARY LICENCE TO BE COLLECTED FROM THE AGW OFFICE DURING OFFICE HOURS BEFORE THE EVENT.                                                                                      9.  NO SPECTATORS ALLOWED
Required
COVID-19 RULES AND REGULATIONS *
1.  COVID-19 Health Questionnaire to be completed before entering the Stadium.                                                                                   2.  MASK covering the nose and mouth must be worn at all times.                                                                                                                 3.  Regular hand washing/sanitation to be complied to.                                                                                                                               4.  Only athletes participating in events are allowed to remove their masks.                                                                                                 5.  Athletes must mask up as soon as possible after event.                                                                                                                     6.  Social Distancing to be kept at all times (1.5m apart).                                                                                                                             7.  No spitting allowed.                                                                                                                                                                                      8.  No hand shaking/hugging/high-five allowed.                                                                                                                                                       9.  NO ATHLETE/COACH/TECHINCAL OFFICIAL WILL BE ALLOWED INTO THE STADIUM, BEFORE PASSING THE SCREENING STATION.                                                                                                                                        
Required
INDEMNITY/WAIVER *
1.  By entering this event I undertake to be bound by the rules and regulations of the event including those of AGW, ASA and WA at my own risk.                                                                                                                                                                                                              2.  I warrant that I am in good health and aware of the risks and dangers of this sporting event, and do not claim ignorance of these risks and dangers.                                                                                                                                                                                           3.  I hereby accept that I participate in the event entirely at my own risk and I release and discharge, to the fullest extend allowed in law, the orginisers of the event, all sponsors, persons and organisations assisting in the staging of the the event, provincial and national athletics bodies and all local authorities from any responsibility, liability or costs relating to any injury, loss or damage of whatever nature, however caused, arising directly or indirectly from my participation in the event including pre- and post-race activities.                                                                                                                                                                                                          4.  I further agree and warrant that if at any time I believe conditions to be unsafe, I will immediately discontinue further participation in the activity.                                                                                                                                                                                  6.  MINOR RELEASE -: and I, the minor's parent and/or legal guardian, understand the nature of athletic activities and the minor's experience and capabilities and believe the minor to be qualified, in good health and in proper physical condition to participate in such activity and I enter into this Indemnity/Waiver on behalf of the minor.
Required
I hereby confirm that I understand, accept and commit to the above-mentioned terms and conditions (Your entry is not valid if box is not checked):
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