Addo Elephant Trail Run – 100 Mile – 2021

Name: Addo Elephant Trail Run - 100 Mile - 2021
SKU: LA-Addo-100-2021-EB
Price: 4150.00 ZAR
Availability: InStock

R4,150.00

This entry is for the 100 Mile Addo Elephant Trail Run only.

If you are entering more than 1 person, please make sure to complete the relevant athlete details section before you add your entry to the cart.

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12 in stock

Addo Elephant Trail Run - 100 Mile - 2021 quantity

Athlete Details #1

First Name: *

Last Name: *

Email: *

Mobile Number: *

Gender: * Male Female

Age: *

Date Of Birth (YYYY-MM-DD): *

ID Number: *

Emergency Contact Person: *

Emergency Contact Number: *

Allergies: *

Any medical conditions we should know about?: *

Medical Aid: *

Medical Aid Number: *

Family Doctor: *

Doctors Telephone Number: *

Do you use any performance enhancing medication?: * Yes No

Are you currently taking any medication (chronic or otherwise)?: * Yes No

Do you suffer from any of the following? (tick all that apply): Cardiovascular problems Respiratory problems Endocrine problems (diabetes) Musculoskeletal problems Central nervous system problems (fainting or epilepsy etc) Major illness within the last year Gastro intestinal problems Any family history of heart disorders