Spanrun Registration form

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Team captain *

First

Last

Age *

Email

Contact number *

Emergency Age Email

Member 2 *

First

Last

Age *

Email

Contact number *

Member 3 *

First

Last

Contact number *

Age *

Email

Member 4 *

First

Last

Email

Age *

Contact number *

Emergency contact: *

Contact number *

Indemnity *

• I acknowledge that I participate in this event voluntarily and at my own risk. I accept responsibility for any injury, accident, loss or damage that may occur during the event. To the fullest extent permitted by law, I release and indemnify Nama Youth Guardians, its board, volunteers and sponsors from any liability arising from my participation, except where liability cannot legally be excluded. I conform that I have read and understood this indemnity

Payment options *

• EFT (R80 per team)
• Card (R80 per team)
• Cash (R80 per team)

Submit

Payment options

Based on your chosen payment option, please see details below.

EFT

Bank Name: First National Bank
Account Name: Nama Youth Guardians NPC
Account Number: 63140989120
Branch Code: 255355
SWIFT Code (for international donors): FIRNZAJJ
Reference: NameRUN (for example PeterRUN)
Proof of payment: Please email a proof of payment to connect@namayouth.co.za

Card

CLick on the link below to pay online using card
Reference: NameRUN (for example PeterRUN)

Cash

Please pay at an authorised representative of the organisation
Contact Estefan Pieterse at 0823336424 to make payment arrangements