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2010 DRAK CHALLENGE K1 ENTRY FORM
This entry form can be completed online and submitted electronically.
Proof of payment must be emailed or faxed to confirm your entry.
Entry confirms that you have read, and will abide by the race rules, which can be found here

Paddler 1

BOAT NUMBER	Class: K1
CSA Registration Number :
Surname:
Initials:
First Name:
ID Number:
Club:
Date of birth :
Sex:
Category:
Postal Address:
Postal Code:
Telephone - work:
Telephone - home:
Telephone - fax :
Telephone - cell :
e-mail :

T-Shirt size:
Entry
Total R
Have you completed 10 or more Drak Challenges?

INDEMNITY : I, the undersigned, hereby declare that I am sufficiently competent to take part in the Drak Challenge, assume all risks of participation in the Drak Challenge, release and discharge the organisers and all their assistants as well as the sponsors from all claims arising for loss, damage, injury or death I may suffer arising from my participation in the race, and agree to abide by all the race and
CSA rules, which I have read and understood. I further certify that the information above is correct .

I confirmed that I have read the rules, and terms of the indemnity, and will abide by these.

*Entry Cost:*	Senior Paddlers - R320 Junior Paddlers - R180
Closing Date:	19 February 2010 - 6pm
*Late entries closing:*	24 February 2010 - an additional charge of R100 per paddler.
Drak (E) batch:	Additional R300 per paddler

Payment Methods:
Phone enquiries to (033) 7011067
Fax a copy of bank deposit to 033 7011 067,
or email proof of EFT transfer to entries@drak.co.za
NB Use CSA National Reg No and name as depositors reference. Online registration via website.
Bank Account Details:
Canyon Kayak Club, FNB Underberg, Code 221025, Acc No: 52550026854

To submit your survey response entry by email click here > > >

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