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Please note: You are about to enter a team of 4 swimmers into the Schools Charity Relay Challenge at the aQuelle Midmar Mile 2022. By entering the team, you commit as a school, to raise R10,000 per team entered. There is a R400 entry fee for the team which is payable on entry, once all details are submitted. Please ensure you submit full details of each swimmer as required. This is for safety purposes at the event itself.
Enquiries to: mary@midmarmile.co.za
 
Entry Options
Event Name aQuelle Midmar Mile
Race Name Schools Challenge

Team Details
Team Name
School Name

Swimmer 1
First Name
Surname
International
ID Number
Date Of Birth
Age
Gender
Postal Code
Email Address
Cell Number
Emergency Contact
Emergency Number
Medical Aid
Medical Aid Number
Completed Midmar Miles

Swimmer 2
First Name
Surname
International
ID Number
Date Of Birth
Age
Gender
Postal Code
Email Address
Cell Number
Emergency Contact
Emergency Number
Medical Aid
Medical Aid Number
Completed Midmar Miles

Swimmer 3
First Name
Surname
International
ID Number
Date Of Birth
Age
Gender
Postal Code
Email Address
Cell Number
Emergency Contact
Emergency Number
Medical Aid
Medical Aid Number
Completed Midmar Miles

Swimmer 4
First Name
Surname
International
ID Number
Date Of Birth
Age
Gender
Postal Code
Email Address
Cell Number
Emergency Contact
Emergency Number
Medical Aid
Medical Aid Number
Completed Midmar Miles

Optional Extras
The Original Glodina XL Towel
 

Indemnity
In consideration of the acceptance of my entry, I, for myself, executors, heirs, administrators and assigns do hereby release and discharge Midmar Mile and its sponsors, any and all voluntary groups, all medical personnel, any and all authorities from all claims for injuries, damage and property loss I may suffer caused by negligence of any of them and arriving out of my participation in the event including pre and post race activities. I am physically fit and sufficiently trained to participate in this event and assume all risks for participation. I accept all the rules, conditions and regulations which include terms of payment of entry fee and will comply with them. I also grant my permission to Midmar Mile and it’s authorized agents to use my name, photographs, video tape, broadcasts, telecasts, advertising promotion or other account of this event free of charge.
The submission of your personal details upon entry, hereby grants permission to Midmar Mile to contact you in regard to your entry or details about the event itself

Payment
Payment Method

Entry Fees
Entry Fee R400-00
The Original Glodina XL Towel
  R0-00
Total R400-00


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