RUN & RIDE ENTRY FORM

Run & Ride For A Cause

Join the Rosetta/Nottingham Road and Mooiriver community in celebrating our spectacular natural beauty and be active in making a difference for charity or schools in the area.

The race traverses grassland, farming terrain and pristine nature reserves, seldom accessible to the general public. The event starts and finishes at Springvale Farm in Rosetta and if you would need accommodation in the area, have a look at the local tourism sites:

Notties Breakaways
Midlands Meander

You can also download the Entry Form by clicking here.

After you have filled all information in, you can then send back to admin@wilsonandassociates.co.za.

For any queries please contact Zama Madlala on 033 267 5036.

GPS coordinates for the event location are as follows:
S 29° 18. 884’ E 29° 59.408’

Banking Details:

Account name: RNR Conservancy
Bank: FNB, Howick
Account number: 62628920862
Branch number:  220 725
Account type: Business
REFERENCE: SurnameMTBdistance OR SurnameRUNdistance e.g. MadlalaRUN13km or MadlalaMTB13km

Entrant Personal Details

Entrant Name

Your Surname

Date of Birth (DD/MM/Year)

Gender
MaleFemale

Entrant Cell Number

Entrant Email

Medical Aid Details

Medical Aid Name

Medical Aid Number

Allergies

Your Event Choice
38km MTB (R120) - 09:00AM Start24km MTB (R100) - 09:00AM Start13km MTB (R100) - 09:15AM Start5km MTB Fun Ride (R50) - 09:15AM Start24km Trail Walk/Run (R100) - 08:15AM Start13km Trail Walk/Run (R100) - 08:30AM Start5km Trail Walk/Run (R50) - 08:30AM Start

Your Nominated Local Rosetta/Mooi River/Nottingham Road Charity (*Optional) (50% of profit from the event)

Name of Charity
The Bruntville Dog ProjectSPCA-MooiriverMusic VoyageNottingham Road RefreshedSibonokuhle SchoolSimcelisile Educare CentreKZN Crane Foundation

Attach proof of payment below or email to Zama Madlala at admin@wilsonandassociates.co.za

Please note: Banking details can be found to the left of this page.

SUBSCRIBE

What are the subscriptions?
Our subscriptions are R200 per annum however at this early stage of our development,
we have decided to make this entirely voluntary.