First Name *

Last Name *

ID Number *

Email Address *

Cellphone Number *

Address

Bike/Quad Number *

Class *
Bike (R 300)Quad (R 300)Under 12 (R 250)

Medical Cover
YesNo
Name of Emergency Contact *

Emergency Contact Number *

I signify my/our agreement to abide by the rules by submitting this entry form. I, the lawful parent/guardian of the above-mentioned competitor, do hereby grant permission for him/her to ride in the above-mentioned event. If a competitor is a minor, this form must be submitted by the appropriate parent or guardian.

I Acknowledge that motorsport is dangerous. By entering Zone 7 Speedspot Cape Town and using the facilities, I acknowledge the inherit dangers associated with this sport and therefor indemnify the owners, organizers and staff.

I also indemnify the owners, organizers and staff on behalf of all non-riders and minors in my care. Therefor I utilize the facility on my own risk.

Indemnity Declaration *
I am 18 years or older, if not, authorised by a parent/guardian
Yes

Entry Fee: R 300.00 (R 250 - Under 12)

Zone 7
Capitec Bank
Branch Code: 470010
Acc #: 1362378311
Reference: Name and Surname

Please email relevant documents to info@zone7.co.za.

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