Addo Elephant Trail Run – 44km – 2020

Name: Addo Elephant Trail Run - 44km - 2020
SKU: LA-Addo-44-2020
Price: 950.00 ZAR
Availability: InStock

R950.00

This entry is for the 44km 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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51 in stock

Addo Elephant Trail Run - 44km - 2020 quantity

Ticket #1

First Name: *

Last Name: *

Email: *

Mobile Number: *

Gender: * Male Female

Age: *

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

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

If you answered Yes to any of the above, please supply details:

If you have undergone any surgical procedures in the last 2 years, please supply details:

If you have ever suffered from a heart disorder or anaesthetic problem, please supply details:

What is your blood type?:

Race garment (top) size: *

Country: *

SKU: LA-Addo-44-2020 Category: Addo Elephant Trail Run

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