RASA 2023 Entry
Entry Form for Freedom Challenge - Race Across South Africa in June/July 2023
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Email *
First Name *
Surname *
ID NUMBER *
Age on Race day *
Profession *
E-mail Address *
Mobile Number *
Daytime delivery address
For door-to-door courier deliveries (no PO Box please)
Street *
Town *
Postcode *
Race garment size? *
Would you like pre-printed maps and narratives delivered to your door at additional cost of R1000? *
Please note:
- Download links to maps and narratives will be made available to all competitors
- Pre-printed maps and download links will be sent out by end of January
Previously completed FC Events
If no previously completed FC events, please specify brief MTB experiences / races completed
Medical Aid - Name (if applicable)
Medical Aid - Number (if applicable)
Do you have any allergies?
Any pre-existing medical conditions?
Are you on any chronic medication?
Next of Kin Name *
Next of Kin Contact Number *
Race strategy (for batching purposes) *
Riding partner(s) (for batching purposes)
Preferred start day (see draft batches on website availability) *
I have read the payment and withdrawal terms hereby accept them (Please check following box to confirm) *
Required
I have read the rider indemnity form and hereby accept it (Please check following box to confirm) *
Required
I will familiarise myself with all race rules before starting and agree to abide by race rules (Please check following box to confirm) *
Required
Other comments (you can insert any special invoicing details or promo codes here)
PLEASE READ:
- Once submitted, a thank you message will appear confirming entry submission
- You will receive invoice via email within 48 hours.
- You may pay in instalments of your choosing, please use same invoice number on all instalments.
- Deadline for all entry fee payments is 31 January 2022. Start batch place is only secured once entry is at least 30% paid.
- Race info pack will be sent out in first week of Feb 2023. This pack includes:
    -Maps/narrative download links
    -Race preparation document
    - Vehicle transfer booking form
    - Family accommodation booking for start/finish
A copy of your responses will be emailed to the address you provided.
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