MTB 25KM / 50KM 2021 Entry Form 7 Entry Form MTB 25KM / 50KM 2021 Entry Form 1 Athlete Info2 Meal Options3 Kiddies Dash4 Extra Meals For Supporters5 Indemnity and Waiver 25KM / 50KM MTB - SundayThe Mountain Bike is a great way to get the legs stretched out after either enjoying the 4 Peaks challenge the day before, or if you just want something to do on the weekend after supporting your athletes. This mountain bike route is a non-technical jeep and single track, perfect for all-mountain bike levels. Cost: Entry - R300 Includes but not limited too: 4 Peaks Shirt, Medal & Offical Timing This entry does not include meals!Personal InformationName* First Last Email* Gender*MaleFemale25KM or 50KM*25KM50KMGarment Size*SmallMediumLargeX-LargeXX-LargeFor Gender Meal PlansWe will be offering 2 meal plans for the race. Option 1: Friday Dinner & Saturday bun after race @ R200 per a person Option 2: Friday Dinner, Saturday bun after race & Saturday Dinner (Spitbraai) @ R400 per a person Please select one of the options*NoneOption 1Option 2 The Kiddies Dash! - SaturdayWe also offer a kids run that starts after the last runner has come in giving an opportunity for the kiddies to run a little loop with the family. Suitable For Ages : 6 - 13 Cost: Entry - Free of charge Option: 4 Peaks Shirt - R150 - To add please see "Options" below This entry does not include meals! We will be taking all information for the Kiddies Dash at registration on the 20th of SeptemberPlease select how many would like to take part in the Kiddies Dash*None12345 Meals For Family/SupportersWe will be offering 2 meal plans for the supporters and family members attending the race. Option 1: Friday Dinner & Saturday bun after race @ R200 per a person Option 2: Friday Dinner, Saturday bun after race & Saturday Dinner (Spitbraai) @ R400 per a person Please select the meal option for Family/Supporters*Please select the meal option for Family/SupportersOption 1Option 2NoneHow many option 1 Family/Supports Meals do you need?*Option 1: Friday Dinner & Saturday bun after race @ R200 per a person12345How many option 2 Family/Supports Meals do you need?*Option 2: Friday Dinner, Saturday bun after race & Saturday Dinner (Spitbraai) @ R400 per a person12345 Important Information No substitutions. The Moolmanshoek Reserve Conservancy Fee Of R75 Per Person Must Be Paid As Entering The Reserve. Moolmanshoek Gate Fee* Moolmanshoek Gate/Conservancy Fee: By Ticking This Box You Are Aware That Moolmanshoek Reserve, Charge A Conservancy Fee Of R75 Per Person (for the weekend) Entering The Reserve. This Fee Goes Towards to the Conservation And Upkeep Of Roads And Grounds Indemnity and Waiver* Indemnity and Waiver: By ticking this box I do hereby release and discharge the organizers, any and all sponsors, any and all volunteer groups, all medical personnel, any and all local authorities from all claims for injuries, damage or property loss I may suffer caused by negligence of any above mentioned members and arising out of my participation in this event, including pre and post race activities. I am physically fit and sufficiently trained and experienced in this extreme ultra endurance event and assume all risks for such participation. I accept all rules, conditions and regulations that include the payment of the entry fee and will comply with them. MTB 25KM / 50KM 2020 EntryCommentsThis field is for validation purposes and should be left unchanged.