Team of Four Entry

So you want to join in the 100 Miles of Nowhere!! Excellent!

Fill in the form below and we will be in touch shortly. Alternatively you can download a manual entry form here.

Rider One
Rider Two
Rider Three
Rider Four
Rider One's date of birth dd-mm-yyyy
Rider Two's date of birth dd-mm-yyyy
Rider Three's date of birth dd-mm-yyyy
Rider Four's date of birth dd-mm-yyyy
Waiver Participants undertake to participate entirely at their own risk and agree that they shall have no claim whatsoever against the organizing body, any individual organizer, assistant, helper or agent, the sponsor or any Cadence studio or their employees, in respect of any loss or damage whatsoever which a participant may suffer, arising from any injury to person or loss or damage to property as a result of, or rising out of, whether directly or indirectly, participating in any event, including that person’s arrival, or departure there from, and attendance at any ceremony or function thereof, howsoever such loss or damage may arise and regardless of whether or not same shall have been caused directly or indirectly by negligence, albeit gross or one or more of all the aforementioned parties. In the event that a paticipant is a minor, the parent / guardian whose signature appears hereunder hereby indemnifies and holds harmless the organizing body, any individual organizer, assistant, helper or agent, the sponsor or any Cadence studio or their employees from any claims which may be made against them in respect of such minor.

RULES / INFORMATION:
1.Entrants are to be physically fit and well
2.No person under the age of 18 will be allowed to enter as individuals
3.Children between 16 and 18 years may participate in a 2 person relay team if they are physically fit and with permission of a legal guardian
4.Children between 10 and 16 years may participate in the 4 person relay only
5.Entrants are to obey all studio rules at all times.
6.The event will take place on 24 June at Cadence studios the start time will be 14:00 for all studios
7.Substitutions are allowed but require an entry form to be completed
8.No entry fee monies will be returned in the event of a substitution
9.Entries are limited to the 1st 100 Entries
10.Companies and individuals that sponsor will be issued with Section 18A letters *please contact us for the relevant forms
11.All proceeds from the event will be donated to The Cows – A national fundraising body, who allocate monies to CHOC

Waiver
Participants undertake to participate entirely at their own risk and agree that they shall have no claim whatsoever against the organizing body, any individual organizer, assistant, helper or agent, the sponsor or any Cadence studio or their employees, in respect of any loss or damage whatsoever which a participant may suffer, arising from any injury to person or loss or damage to property as a result of, or rising out of, whether directly or indirectly, participating in any event, including that person’s arrival, or departure there from, and attendance at any ceremony or function thereof, howsoever such loss or damage may arise and regardless of whether or not same shall have been caused directly or indirectly by negligence, albeit gross or one or more of all the aforementioned parties. In the event that a participant is a minor, the parent / guardian whose signature appears hereunder hereby indemnifies and holds harmless the organizing body, any individual organizer, assistant, helper or agent, the sponsor or any Cadence studio or their employees from any claims which may be made against them in respect of such minor.
SignaturSnapscane Parent / Guardian Date

SnapscanPayment can be made via EFT or SnapScan

Bank Details
Name: CHOC Cows
Bank: Standard Bank
Branch: Killarney
Code: 007 205
Number: 203 710 843
Ref: 100M Surname/Team

Please send Proof of Payment to:
Iris Varty
Email: durbsdaisy@thecows.co.za
Cell: 071 298 2992