ENTRY FORM
21km & 10km
ENTRY DETAILS
16 years and older
Distance Entry Fee Temporary
15 years and older
21km R 45 R 25
10km R 30 R 25
Fun Run (2 & 4.9km) R 10
Total
21km & 10km
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 Home Tel
(
)
Work Tel
(
)
W
Female
Male
Distance
10km 20km
10 May 2014 @ 07h00
Cellphone
Email Club in full Province
Reg. No.
S
T-shirt size
M
L XL 2XL 3XL
Fun Run 2 & 4.9km @ 7h15
21km & 10km entries ONLY
Fun Park for the Kids!
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. P articipants 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. eferees, marshals & traffic officials must be obeyed at all times. Failure to comply with their instructions will lead to 4. R immediate disqualification. ll runners participate at their own risk. Organisers & sponsors will not be held responsible for any injury, illness 5. A or accidents occurring during or as a result of the race. 6. Minimum age 10km - 15 years / 21km - 16 years. 7. F or safety reasons, ASA prohibits the use of all electronic equipment such as iPods while running.
I hereby indemnify the sponsors & organizers against any claim. I undertake to abide by all the rules. Signature..............................................................(Parent or Guardian if under 18)
Prize money Spot prizes Tollgate subsidy T-shirt for pre-entries Unique medal
START & FINISH
Malalane Rugby Club next to Malalane Kruger Gate
OFFICIAL USE Race No. Payment
Receipt No. Cash
Cheque
Postal Order
Proudly Presented by
ONDERBERG MARATHON CLUB
Online Entries
Fun Run,Late Entries & Pre-Entry Collections
www.entrytime.com Closing date : 02/05/2014
At Malalane Rugby Club Friday 09 May 16h00 - 19h00 Race Day 05h30 - 06h45
Fax Entries
Fax entries & proof of payment to 0866 328 694 Closing date : 02/05/2014
Postal Entries
Onderberg Marathon Club Selati 2 in 1 race P O Box 1022, Malalane 1320 Closing date : 02/05/2014
Bank Details
Onderberg Marathon Club FNB, Malalane Acc No. 52922038619 Branch Code 270952
Use surname and initials as reference for EFT’s
Free entry for all over 60’s Pre-Entries available at
MEDALS
21km & 10km
ENTRY DETAILS
Gold Medals Gold Medal First Lady Silver Medals next 30 Bronze Medals
* If there is a shortage of medals on the day they will be posted to you after the race
PRIZE MONEY Men
10km
21km
Women
Men (open) 1 Men (open) 2 Men (open) 3 Men (40+) 1 Men (50+) 1 Men (60+) 1 Junior Men 1 Walker Men 1
R500 R300 R200 R200 R200 R200 R200 R200
R1250 R 750 R 500 R 300 R 300 R 300 R 300 R 300
Ladies (open) 1 Ladies (open) 2 Ladies (open) 3 Ladies (40+) 1 Ladies (50+) 1 Ladies (60+) 1 Junior Ladies 1 Walker Ladies 1
Pre- entry acceptance will be confirmed by SMS - no later than 7 May 2014
Race Enquiries
Tollgate
Reimbursement
Marthinus Kelder 084 581 6503
Miempie Valks 082 940 0873
Deon Valks 082 788 0675
[email protected]
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.
10 1 30 All
Selati Goody Bag for all Finishers!
Accommodation Info Malalane Tel 013 790 1193 Fax 013 790 1013
follow us on TSB Selati Marathon
[email protected] www.krugerparksouth.co.za * may vary from picture
NOODROEP
