Drake Events – Events Planner, Event Services. Gauteng area: Johannesburg, Pretoria | Entry Form

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Services
Events
Request a Quote
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Gallery
Contact Us
About
- About Us
- Join the Team

Outride Registration Form

Please read the Terms and Conditions, as well as the Rules, then complete the registration form below

Terms & Conditions

Entry Information

Event Selection *
edgeup life Magalies MTB Outrideedgeup life Parys Road Outrideedgeup life Amashova Tour
Entry Type edgeup life Magalies MTB Outride *
165km Solo Entry (R500)
Entry Type edgeup life Parys Road Outride *
195km Solo Entry (R500)
Entry Type edgeup life Amashova Tour *
Solo Entry (R11500)
Transfers edgeup life Parys Outride *
Shuttle Parys-Kyalami (R100)No Transfers Required (R0)
Will any family/friends be travelling with you on tour? *
YesNo
What will your accommodation plans be with your family/friends joining the tour? *
I will make use of Drake Events provided accommodationI will not make use of Drake Events accommodationI need a private room so my friend/spouse/partner can share with me Other - please advise
Will you be making use of the 5th night accommodation in Durban on 23 October? (included in package): *
YesNo
Do you require a bus transfer from Durban to Johannesburg on 24 October? (included in package): *
YesNo
Do you require a bicycle transfer from Durban to Johannesburg on 24 October? (included in package): *
YesNo
Do you require a shuttle transfer to the airport? *
YesNo
Group Selection 165km edgeup life Magalies MTB Outride *
Group 1 | Mass Start
Group Selection edgeup life Parys Road Outride *
Group 1 | 195km | 30km/hrGroup 2 | 195km | 28km/hrGroup 3 | 195km | 26km/hr
Please state any food allergies or dietary requirements

Apparel

Do you want to order an official Drake Events cycling jersey, manufactured by Van H? *
(Not sure of your size? Check the sizing guide) - Sizing guide is the following link - https://vanh.co.za/pages/sizingYesNo
Do you want to order an official Drake Events cycling jersey, manufactured by Van H? *
(Not sure of your size? Check the sizing guide) - Sizing guide is the following link - https://vanh.co.za/pages/sizingYesNo
What size cycling jersey do you want to order?
Do you want to order Drake Events Sox? *
YesNo
What size sox do you want to order?

Personal Information

Name *
Surname *
ID/Passport Number *
Gender *

Contact Details

Cell No *
Whatsapp No *If different from cell number
Email *

Address Details

Address *
Suburb *
City *
Postal Code *

Emergency Contact

Your emergency contact should not be participating but must be traceable in the event of an emergency
Name & Surname *
Contact Number *
Relationship to Entrant *

Alternative Emergency Contact

Name & Surname *
Contact Number *
Relationship to Entrant *

Medical Aid Information

Medical Aid Name
Membership No
Membership Plan
Main Member Name

Personal Health

Please be as honest as possible in order for you to receive the correct medical attention
Current Medication
Allergies

NB Documents

Please confirm *
I have read and agree to the Terms and ConditionsI have read and agree to the Rules

POPI Consent

I give consent to Drake Events to send event information via e-mail, as well as for Drake Events to send me events and services related information.
Yes, I give consentNo, I do not give consent
I give consent to official partners of Drake Events Cycling Events to send me marketing information specifically related to their products and services.
Yes, I give consentNo, I do not give consent

Let's give back

Pug Rescue SA
Drake Events will donate R20 per rider entry towards Pug Rescue SA. Do you want to add an additional donation?YesNo
Pug Rescue SA
Drake Events will donate R150 per rider entry towards Pug Rescue SA. Do you want to add an additional donation?YesNo
Thank you, how much do you want to contribute? *

Payment Options

Which payment option do you prefer? *
Payment in FullDeposit & Monthly Instalments

Verification

Please enter any two digitsExample: 12
This box is for spam protection - please leave it blank

Contact Details

Organiser

Wesley Drake – 072 076 9245
Xanné Drake – 082 370 8614

Online Store

Banking Details

Drake Events
Bank: FNB
Branch : 230732
Account Number : 62854277110

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