September Potch Big Backyard Ultra
Please use this form to register for the Potch Big Backyard Ultra - September Edition.

IMPORTANT: This entry form must be completed for EACH athlete irrespective of their age (including under 13 years old)

Early Bird Entry Fee:
Adults = R400 (normal R530)
Team of 4 = R1500 (normal R2000)
Children over 13 = R75 (normal R110)
Children under 13 = FREE!

Please pay online for your entries if you have not done so yet here:

https://event81.co.za/pages/pbbu

All entries will only be confirmed on full payment.

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Email *
Name *
Surname *
Cell number *
Gender *
I'm entering for: *
Will you be running in a team? (A team must consist of 2 men and 2 women) *
If YES, who are the other 3 members of your team (give name and surname)?
Name of next of kin and emergency number *
Waiver and disclaimer
I know that trail running is a potentially hazardous activity. I should not enter and run unless I am medically able and fit. I agree to abide by any decision of a race official relative to my ability to safely complete the race. I hereby certify that I am in good health and I am confident that I can run the distance of the race I am entering. I assume all risks for participating associated with running, including but not limited to falls, contact with other participants, the effects of weather, traffic, and conditions of the roads, all such risks being known and appreciated by me.
Having read this waiver and knowing these facts and in consideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf, hereby waive and release Event81 (Pty) Ltd, Hartspad Adventure Trails and all sponsors, volunteers and providers of services to the race, their representatives and successors from all claims and liabilities of any kind arising out of my (or entrant’s) participation in this event even though the claim or liability may arise out of the negligence or carelessness on the part of any person named in the waiver. I further authorise and empower the race director, if after a reasonable attempt has been made to reach a parent, guardian or emergency contact to obtain consent, or if sound medical practice decrees that there is not time to make such an attempt, to consent to and authorise any medical care or treatment for the participant that may appear reasonably necessary as a result of emergency, accident, or illness of the participant whether occurring before, during, of after the event. I assume full responsibility for the cost of any treatment given.
Further, I grant full permission to the foregoing to use any photographs, motion pictures, recordings, or any other record of this event for any legitimate purpose, including commercial advertising without monetary payment to me.
By submitting this form I understand and agree to the terms of this waiver.
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