THIS YEAR MUST BE SELECTED
SA ID NUMBER MUST BE 13 DIGITS
EMERGENCY CONTACT BE SOME WHO IS UNLIKELY TO RUN IN THE SAME RACE AS YOU OR ATTENDING THE SAME FUNCTION AS YOU
DECLARATION: BY SIGNING THIS DOCUMENT I AGREE TO ASSIST WITH MARSHALLING THE CLUBS RACES VIZ THE SLAVE ROUTE CHALLENGE. I ALSO AGREE TO WEAR THE DESIGNATED CLUB RUNNING SHIRT IN ALL OFFICIAL RACES DECLARATION: I declare that I am a bona fide athlete/coach/technical official/office bearer. I confirm that all the information provided on this application is true and correct. I understand that my participation in athletics related events are subject to the ASA Constitution, its rules and regulations. I understand that this licence can be retracted should I violate the ASA Constitution, its rules and regulations. I hereby accept that I participate in any event of ASA and its members entirely at my own risk. I indemnify ASA and its members, sponsors and organisers of any event against all and any action of whatever nature which may arise out of my participation and I agree that it is my responsibility to be medically fit to compete in any event. I understand that my information may be shared with ASA partners, in accordance with the ASA Privacy Policy. I understand that if I am a minor, my parent and/or legal guardian understands the nature of the athletic activity, approves of the declaration above, and signs it on my behalf. I declare that I am a bona fide athlete/coach/technical official/office bearer. I confirm that all the information provided on this application is true and correct. I understand that my participation in athletics related events are subject to the ASA Constitution, its rules and regulations. I understand that this licence can be retracted should I violate the ASA Constitution, its rules and regulations. I hereby accept that I participate in any event of ASA and its members entirely at my own risk. I indemnify ASA and its members, sponsors and organisers of any event against all and any action of whatever nature which may arise out of my participation and I agree that it is my responsibility to be medically fit to compete in any event. I understand that my information may be shared with ASA partners, in accordance with the ASA Privacy Policy. I understand that if I am a minor, my parent and/or legal guardian understands the nature of the athletic activity, approves of the declaration above, and signs it on my behalf.
DECLARATION: BY SIGNING THIS DOCUMENT I AGREE TO ASSIST WITH MARSHALLING THE CLUBS RACES VIZ THE SLAVE ROUTE CHALLENGE. I ALSO AGREE TO WEAR THE DESIGNATED CLUB RUNNING SHIRT IN ALL OFFICIAL RACES DECLARATION: I declare that I am a bona fide athlete/coach/technical official/office bearer. I confirm that all the information provided on this application is true and correct. I understand that my participation in athletics related events are subject to the ASA Constitution, its rules and regulations. I understand that this licence can be retracted should I violate the ASA Constitution, its rules and regulations. I hereby accept that I participate in any event of ASA and its members entirely at my own risk. I indemnify ASA and its members, sponsors and organisers of any event against all and any action of whatever nature which may arise out of my participation and I agree that it is my responsibility to be medically fit to compete in any event. I understand that my information may be shared with ASA partners, in accordance with the ASA Privacy Policy. I understand that if I am a minor, my parent and/or legal guardian understands the nature of the athletic activity, approves of the declaration above, and signs it on my behalf. I declare that I am a bona fide athlete/coach/technical official/office bearer. I confirm that all the information provided on this application is true and correct. I understand that my participation in athletics related events are subject to the ASA Constitution, its rules and regulations. I understand that this licence can be retracted should I violate the ASA Constitution, its rules and regulations. I hereby accept that I participate in any event of ASA and its members entirely at my own risk. I indemnify ASA and its members, sponsors and organisers of any event against all and any action of whatever nature which may arise out of my participation and I agree that it is my responsibility to be medically fit to compete in any event. I understand that my information may be shared with ASA partners, in accordance with the ASA Privacy Policy. I understand that if I am a minor, my parent and/or legal guardian understands the nature of the athletic activity, approves of the declaration above, and signs it on my behalf.
Banking Details Itheko Sport Athletic Club Standard Bank Account 272118613 Branch Code 026209 REF: YOUR NAME + MF [membership fees]
Banking Details Itheko Sport Athletic Club Standard Bank Account 272118613 Branch Code 026209 REF: YOUR NAME AND ID NUMBER
NOTE: SOCIAL COMMISSION ASSISTING AT OUR GAZEBO AT SELECTED RACES

You don't stop running because you get old, you get old because you stop running