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KAEM Big Daddy

Entry Form - 2024

KAEM Big Daddy

    Full Name*

    Email*

    Phone Number (Mobile with country code: +27 83 555 5555)

    Nationality *

    ID / Passport Number *

    Date of Birth*

    Please choose an image of your ID or Passport.

    Please choose an image for your profile.

    Physical Address
    Street

    Suburb

    City

    Province / State

    Code

    Country

    Medical Cover (Compulsory)
    Medical Aid Name

    Medical Aid Number

    Medical Aid Telephone

    Main Member Name

    Travel Insurance (Compulsory for international participants)
    Insurance Name

    Insurance Number

    Emergency Contacts
    Contact Name

    Contact Number

    Contact Email

    Entry Fee

    Please note:
    • Entries are open till 31 July 2024.
    • Upon receipt of an entry, an invoice will be sent to the entrant with the payment schedule and banking details.
    • An entry is registered once the deposit payment of ZAR 2500 is received.

    OPTIONAL: Would like to make use of the bus transfer between Upington Airport and Augrabies Falls?

    Debit Order
    If your have a South African bank account, would like to make use of the debit order payment option?

    General Information
    Occupation

    Interests

    Languages Spoken

    Last marathon time (Year & time)

    Interesting races / adventures completed

    Why KAEM?

    Number of KAEMs completed

    T-Shirt Size

    Technical Running Shirt Size

    Sock Size

    Name of person to share accommodation with at the Park (chalet twin sharing)

    Name of person(s) to share your stretch tent at overnight camps

    Allergies

    Meal Requirements, eg: vegan, vegetarian

    Name On Your KAEM Trophy

    Heard about KAEM from

    I agree to the following:
    KAEM Terms and Conditions

    Media Release: I AGREE THAT MY NAME, KAEM PERFORMANCE TIMES, IMAGES AND VIDEO FOOTAGE OF MYSELF CAN BE USED IN KAEM RELATED MEDIA RELEASES AND SOCIAL MEDIA

    Medical Examination: I AGREE TO OBTAIN A MEDICAL EXAMINATION THE MONTH PRIOR TO THE START OF THE RACE, AND TO MEDICAL INTEVENTION DURING THE RACE SHOULD IT BE NEEDED