REGISTRATION FORM
MASSIV GELEZA WALK

7.6km Walk to Commemorate 16 June 1976.

SUNDAY, 23 JUNE 2019

Start & Finish Venue
Moses Malelekwa Arts Foundation, Moriting, Tembisa Provincial Hospital

Race commences at 07h30

Number collection and late entries at the Moses Molelekwa Arts Foundation on 14 June 2019.  EVERY entrant must complete this entry form.  Parents & guardians accept responsibility for entrants under the age of 18.

ENTRY FEE:
Standard fee: R50. Student fee R30. On the day of race R70. Fees payable directly into the Massiv Metro bank account.

BANK ACCOUNT DETAILS:
Account Name: Massiv Metro
Bank: FNB
Branch Code: 254605
Account Number:6268 0806 646
Reference: “Your name” and 7.6WALK

IMPORTANT: WhatsApp your deposit slip to 074 940 7992

RACE RULES & CONDITIONS
1) All entrants must sign the declaration before starting the race.
2) All official directions must be obeyed at all times and entrants must follow the designated course.
3) All safety precautions are to be taken by each entrant so as not to cause injury to oneself or to other entrants.
4) Official race times will not be recorded.
5) All entrants must report to the registration at the venue to receive their race number.

DECLARATION
I declare that I am physically and medically fit to participate in this event and assume all risks of such participation. I participate in the race at my own risk and hereby indemnify the organisers, Moses Molelekwa Arts Centre, officials, all helpers, all sponsors, the national and provincial bodies, local authorities and the MASSIV GELEZA KASI, against injuries and any claim whatsoever which may arise as a result of my participation.

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