By submitting this form you agree to the Special Agreement
I agree not to hold ORAK, WPA, any sponsors, or any person assisting in the organisation or holding of the race liable for any injury or illness, which I may suffer directly or indirectly because of participating in the race or for any damage to my property which I may suffer directly or indirectly because of participating in the race. I accept all rules, conditions and regulations which include the terms of payment of the entry fee and will comply with them. I grant my permission to the organisers and its authorised agents to use my name, photographs, video-tapes, broadcasts, telecasts, advertising promotion or other account of this event free of charge.
I confirm that this Special Agreement is entered for the benefit of the ORAK 12 hour Race, Olifantsriver Athletic Club, the sponsors and the persons assisting in the organisation and holding of the race.
Fields marked with a * are compulsary
All payments to be made to Olifantsrivier Atletiek Klub Account no: FNB (200406) 54150015815.
Please fax entry form and proof of payment to 086 412 1799