ONLINE REGISTRATION | AANLYN REGISTRASIE REGISTRATION EVENT ENTRY 10KM 60KM E-BIKE ALL CATEGORIES AGE ON 31 DEC AGE GROUP YOUTH 15 – 16 JUNIORS 17 – 18 ELITE 19+ SENIORS 19 – 29 SUB VET 30 – 39 VET 40 – 49 MASTERS 50+ NAME SURNAME RESIDENTIAL ADDRESS POSTAL CODE EMAIL MOBILE NO ALTERNATIVE NO DATE OF BIRTH GENDER ID NO CYCLING SA NO (if applicable) 1. NEXT OF KIN NAME NEXT OF KIN SURNAME NEXT OF KIN MOBILE NO NEXT OF KIN EMAIL 2. NEXT OF KIN NAME NEXT OF KIN SURNAME NEXT OF KIN MOBILE NO NEXT OF KIN EMAIL REGISTER BACK TO HOME