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  • Lack of access rights - File 'http:/www.georgeocc.co.za/images/occ_2018_reg.jpg'
  • Lack of access rights - File 'http:/www.georgeocc.co.za/images/occ_2018_reg.jpg'

OCC RACE ENTRY FORM
SUNDAY 18 FEBRUARY 2018

THIS FORM IS FOR ATHLETES ONLY, NOT FOR HELPERS.

Click on image on the right to download a PDF format of the registration booklet.

Please note : You can only enter for ONE race.
All registrations closes at 21:00 on Saturday 17 February 2018

 

Name: *
Address:
Date of Birth:
 /  / 
Ethnic (for stats only):
ID Number:
Gender:
E-mail: *
Tel (H):
-
Fax:
-
Tell (Cell):
-

Medical Information:

Medical Aid:
Allergies:
Emergency contact Tel:
Medical Aid Number:
Emergency Contact Person:

Cost and Category :
Please select the appropriate category from the dropdown lists below.
Cost for 42.21 km Race = R 100.00
Cost for 21.1km Race = R 80
Cost for 10 km Race = R 60
Fun Event = R 50


Sex:
Junior or Senior:
Injury:

Wheelchair type:

Race:

FUN EVENT


NB:  NO BORROWED WHEELCHAIRS AVAILABLE


T-Shirt Size:
do you need someone to push you?

Message:
Word Verification: