Entry Form ENTRY DETAILS Distance Entry Fee Temporary 16 years & older 15 years & older 21km R 45 R 25 10km R 30 R 25 Fun Run (2 & 4.9km) R 10 10 KM Total 21 KM 2 & 4.9 KM FUN RUN Surname & Initials First name Postal Address Date of birth Y Y Y Y / Open 40+ 50+ 60+ M M / D D Age ID Number J Category W Female Male Distance 10km 20km Cellphone Email Club in full Province Reg. No. S T-shirt size M L XL 2XL 3XL 21km & 10km entries ONLY 9 MAY 2015 - 07h00 RULES 1. Athletes run under the rules of Athletics South Africa (ASA) and Athletics Mpumalanga. 2. Athletes must wear their official club colours. Temporary numbers will be issued to athletes not yet registered with a club. 3. Participants in categories other than the open event must clearly display their tags (J, 40, 50, 60, W) on the front & back of their vests. The referees may require proof of age. 4. Referees, marshals & traffic officials must be obeyed at all times. Failure to comply with their instructions will lead to immediate disqualification. 5. All runners participate at their own risk. Organisers & sponsors will not be held responsible for any injury, illness or accidents occurring during or as a result of the race. 6. Minimum age 10km - 15 years / 21km - 16 years. 7. For safety reasons, ASA prohibits the use of all electronic equipment such as iPods while running. Prize money Spot prizes Tollgate subsidy T-shirt for pre-entries Unique medal START & FINISH Fun Park for the Kids! Malalane Rugby Club next to Malalane Kruger Gate I hereby indemnify the sponsors & organizers against any claim. I undertake to abide by all the rules. Signature..............................................................(Parent or Guardian if under 18) OFFICIAL USE Race No. Payment Receipt No. Cash EFT Presented by ONDERBERG MARATHON CLUB PROUDLY PART OF Entry Details Online Entries Fun Run,Late Entries & Pre-Entry Collections www.entrytime.com Closing date : 02/05/2015 Fax Entries Fax entries & proof of payment to 0866 328 694 Closing date : 02/05/2015 Postal Entries Onderberg Marathon Club Selati 2 in 1 race P O Box 1022, Malalane 1320 Closing date : 02/05/2015 At Malalane Rugby Club Friday 08 May 16h00 - 19h00 Race Day 05h30 - 06h45 Bank Details Onderberg Marathon Club FNB, Malalane Acc No. 52922038619 Branch Code 270952 084 581 6503 Miempie Valks 082 940 0873 Deon Valks 082 788 0675 valksd@tsb.co.za Medals Free entry for all over 60’s Pre-entry acceptance will be confirmed by SMS, no later than 6 May 2015 Marthinus Kelder * may vary from picture Use surname and initials as reference for EFT’s Pre-Entries available at Race Enquiries Selati Goody Bag Toll Gate Accommodation Info Malalane Single toll fees for the Nkomazi Toll Plaza will be refunded at the finish of the race to all registered runners in exchange for a valid tollgate receipt dated race day or the day before. Tel 013 790 1193 Fax 013 790 1013 Reimbursement malelaneinfo@mweb.co.za www.krugerparksouth.co.za for all Finishers! Gold Medals Gold Medal First Lady Silver Medals next 30 Bronze Medals 10 1 30 All * If there is a shortage of medals on the day they will be posted to you after the race Prize Money Men Men (open) 1 Men (open) 2 Men (open) 3 Men (40+) 1 Men (50+) 1 Men (60+) 1 Junior Men 1 Walker Men 1 10km R500 R300 R200 R200 R200 R200 R200 R200 21km R1250 R 750 R 500 R 300 R 300 R 300 R 300 R 300 Women Ladies (open) 1 Ladies (open) 2 Ladies (open) 3 Ladies (40+) 1 Ladies (50+) 1 Ladies (60+) 1 Junior Ladies 1 Walker Ladies 1 follow us on TSB Selati Marathon NOODROEP
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