Personal Info Needed During Registration

During online race registration you will be asked for the details listed below.
To speed up the entry process please have these details ready when you decide to enter.

Please do not leave any fields blank - if a field does not apply to you enter 'NONE or 'N/A'.
Also ensure that you enter valid data.
We check all entry records for completeness and will flag your entry as 'Pending' should we see any discrepancies.
Hover your mouse over an item to see more details.
  • Team Name
  • First Name
  • Last Name
  • Gender
  • Age
  • Blood Group
  • Any Allergies
  • Email Address
  • Phone number
  • Nationality
  • ID or Passport no.
  • T-Shirt size
  • Emergency Contact Name
  • Emergency Contact Surname
  • Emergency Contact Phone
  • Blood Pressure
  • Resting Heart Rate
  • Surgical history
  • Permanent medical condition
  • Current medication
  • Name of Medical Aid or Health Insurance Provider
  • Medical Aid or Health Insurance Number
  • Medical Aid or Health Insurance Plan
  • Main Member
  • Your doctor's name
  • Doctor's phone number
  • Driver's Name
  • Driver's Surname
  • Driver's T-shirt size
  • Support vehicle registration number
 

Pupkewitz Nissan

Fruit Veg City

Official Bike of the FNB Desert Dash

Official Bikeshop of the FNB Desert Dash