Transkei Yamaha

Circle Spar Supermarket

Hole in the Wall Hotel

Umtata Cold Storage

Full Name


Next of kin

Telephone kin

Medical Institution

Medical Number


Whilst the promoters and organisers of this ride have taken every precaution for your safety, it is impossible to guarantee safety. Admission is therefore granted upon the clear understanding that any rider appreciates the risks involved and waives for himself/herself, his/her successors, assigns or dependants, and claims he/she, save for this waiver, have against the promoters, organisers, sponsors or beneficiaries or the owner/lessor of the property, in respect of any injury or damage, however arising, which he/she may suffer while attending/participating in this ride.

Email Address

Number of additional Non riders joining you at R450

Number of Non riders children under 12 at Free

Riding Category

Catering Package

Cellphone number that will be carried

No email address:

Use a family members

Use a friends

If still in the dark ages, leave blank

Please enter text

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