Front | Knysna Xtreme

Registration

1 Entry Type "Individual / Team"

2 Athlete Info

3 Supporter Info

4 Waiver and Acknowledgements

5 Confirmation Page

Knysna Extreme Registration
Unique ID
Please select your entry type
Individual Entry – R4,500
(1 Athlete + 1 Supporter)

Team Entries – R6,300
(3 Athletes + 1 Supporter)
Individual Entry
Price: R4,500.00
Team Entry*
Price: R6,300.00
Additional Breakfast Ticket*
Price: R120.00
Note - Athlete and Supporter Breakfast Tickets included in the entry fee
How many additional breakfasts would you like?
Please enter a number less than or equal to 2.
Subtotal
R0.00

Athlete Information
Please upload a photo of yourself.
Drop files here or

Accepted file types: jpg, gif, png, pdf.
This photo will be used in the Athlete Guide.
Discipline*
Name*
Surname*
Please select your club:
Please enter your club name*
Gender*
Date of birth*
Date Format: DD slash MM slash YYYY
ID / Passport Number*
Contact Number*
Contact Email*
Nationality*
Shirt Size*
Medical Details
Emergency Contact Name*
Emergency Contact Number*
Medical Aid Provider*
International athletes, please insert the name of your Travel Insurance Policy Provider
Medical Aid Number*
International athletes, please insert the number of your Travel Insurance Policy
Do you have any medical conditions?*
Please Specify*
Do you take any medication on a regular basis?*
Please Specify*
Do you have any allergies or adverse reactions to any medication?*
Please Specify*
Athlete Two Information
Please upload a photo of yourself.
Drop files here or

Accepted file types: jpg, gif, png, pdf.
This photo will be used in the Athlete Guide.
Discipline*
Name*
Surname*
Gender*
Date of birth*
Date Format: DD slash MM slash YYYY
ID / Passport Number*
Contact Number*
Contact Email*
Nationality*
Shirt Size*
Medical Details
Emergency Contact Name*
Emergency Contact Number*
Medical Aid Provider*
International athletes, please insert the name of your Travel Insurance Policy Provider
Medical Aid Number*
International athletes, please insert the number of your Travel Insurance Policy
Do you have any medical conditions?*
Please Specify*
Do you take any medication on a regular basis?*
Please Specify*
Do you have any allergies or adverse reactions to any medication?*
Please Specify*
Athlete Three Information
Please upload a photo of yourself.
Drop files here or

Accepted file types: jpg, gif, png, pdf.
This photo will be used in the Athlete Guide.
Discipline*
Name*
Surname*
Gender*
Date of birth*
Date Format: DD slash MM slash YYYY
ID / Passport Number*
Contact Number*
Contact Email*
Nationality*
Shirt Size*
Medical Details
Emergency Contact Name*
Emergency Contact Number*
Medical Aid Provider*
International athletes, please insert the name of your Travel Insurance Policy Provider
Medical Aid Number*
International athletes, please insert the number of your Travel Insurance Policy
Do you have any medical conditions?*
Please Specify*
Do you take any medication on a regular basis?*
Please Specify*
Do you have any allergies or adverse reactions to any medication?*
Please Specify*

Supporter Information
Name*
Surname*
Gender*
Date of birth*
Date Format: DD slash MM slash YYYY
ID / Passport Number*
Contact Number*
Contact Email*
Nationality*
Shirt Size*

Waiver and Acknowledgements
The following statements apply to both Athletes and Supporters.
Total
R0.00
Ultra-Distance / Extreme Triathlon*
- By ticking this box, we acknowledge that we are aware of the risks and hazards associated with participating in the Knysna Extreme Triathlon and attest that we are physically fit and able to compete in the Knysna Extreme Triathlon.
Standard Waiver*
- By ticking this box, we accept that we have read and acknowledged the Athlete and Supporter Waiver as described in the Event Manual.
Withdraw / Refund Policy*
- By ticking this box, we accept that we have read, understood and accepted the withdrawal policy as described in the Event Manual.
Pre-Race Briefing*
- By ticking this box, we acknowledge that the Pre-Race Briefing is mandatory.
Signature*
Full name (adult registrant/parent/guardian) By way of signature above, I agree that I have read and understood all the requirements of entry into this event and declare that all information provided here is accurate and complete.

Confirmation Page
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Phone
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Registration

Knysna Extreme Registration

Athlete Information

Medical Details

Athlete Two Information

Medical Details

Athlete Three Information

Medical Details

Supporter Information

Waiver and Acknowledgements

Confirmation Page