Entries

Nurtureline's Spring Trail Run 22nd September 2019
Manual Entries Close 20 September 2019, late entries will be taken on the day but will incur a R20 penalty. Please complete the entry form below for each athlete. Payment must be made via EFT or direct deposit to: C Peternell Standard Bank Acc no. 062818384 Branch Code 006005

*indicates required fields

*Name:

*Surname:

*Distance:

4-5 Km @ R60
10Km @ R120
18km @ R150

*Age:

*Sex:

Male
Female

ID Number:

*Category:

Junior u18yrs
Open 18-40
Senior 40+
Vet 60+ 30% discount on 10km and 18km

*Cell Number:

*Emergency Contact Name:

*Emergency Contact Number:

*Email Address:

If doing multiple entries, one payment for the total amount can be made and proof of payment with list of names can be emailed to entries@southerntrails.co.za

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