ENTER : 31 March – 4 April 2023

Name *

Email adress *

Cellphone Number *

City *

State/Province

Country

Emergency Name and Number *

Medical Condition / Alergies *

T Shirt Size *

Meal Requirement *

Age *

Gender

eBike or MTB *eBikeMTBPlease indicate if you will be riding an eBike or MTB

Entry Option *SingleSharing

Who are you sharing with? *

Total Cost Sharing

R

Total Cost Single

R

Payment Option *50% Payment100% Payment

Payment Due Now Single 100%

R

Payment Due Now Single 50%

R

Payment Due Now Sharing 100%

R

Payment Due Now Sharing 50%

R