first - mtn 8services.mtn.co.za/mtnfoundation/assets/pdf/2015marathonform.pdf · +r120 airtime mtn...

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Competition valid 13/06/2015 - 13/06/2015. Entrants must be 15 years or older and be a South African citizen or permanent resident. Entry fee differs based on event chosen. Race will be held under the rules of Athletics South Africa and Central Gauteng Athletics and Runners or Walkers participate at their own risk. Entry will be subject to completion of indemnity form. Names and images of winners may be published in any media, with the winner’s consent. See www.mtn.co.za for full Terms and Conditions. E&OE. Entry Fee: R100.00 for the 21km // R 70.00 for the 10km // R 40.00 for the 5km fun run Temporary licenses will be on sale at R25.00 for 21km and R20.00 for the 10km run. Pre - entries will close on 2 June 2015 and Prize giving will be at 10:30am. All athletes need to respect and obey all officials and marshals assisting on the day of the MTN marathon -13 June 2015 Register online at www.entrytime.com or get entry forms from {CGA & AGN}: Sweat Shop Dunkeld, Jan Smuts Avenue • 011 325 2567 // Sweat Shop Fourways, Fourways Crossing 011 467 5966 Sweat Shop Southdowns, Irene • 012 665 0048 // Run-A-Way Sports, Lynnwood Rd, Pretoria • 012 361 3738 Randburg Runner, Cnr 4th/5th Ave, Linden • 011 888 9644 // Bedford Runner, Van Buuren Rd, Bedfordview • 011 450 1847 CGA Office, Germiston Stadium. 21KM 10KM VETERAN [40 TO 49 YEARS] MASTER [50 TO 59 YEARS] GRANDMASTER [60 YEARS +] R21 000 R2 100 MTN SMARTPHONE +R120 AIRTIME MTN SMARTPHONE +R120 AIRTIME MTN SMARTPHONE +R120 AIRTIME R10 000 R1 500 MTN SMARTPHONE +R60 AIRTIME MTN SMARTPHONE +R60 AIRTIME MTN SMARTPHONE +R60 AIRTIME R5 000 R1 000 MTN SMARTPHONE +R30 AIRTIME MTN SMARTPHONE +R30 AIRTIME MTN SMARTPHONE +R30 AIRTIME R21 000 R2 100 MTN SMARTPHONE +R120 AIRTIME MTN SMARTPHONE +R120 AIRTIME MTN SMARTPHONE +R120 AIRTIME R10 000 R1 500 MTN SMARTPHONE +R60 AIRTIME MTN SMARTPHONE +R60 AIRTIME MTN SMARTPHONE +R60 AIRTIME R5 000 R1 000 MTN SMARTPHONE +R30 AIRTIME MTN SMARTPHONE +R30 AIRTIME MTN SMARTPHONE +R30 AIRTIME 1ST PRIZE 2ND PRIZE 3RD PRIZE 1ST PRIZE 2ND PRIZE 3RD PRIZE OPEN MEN LADIES This initiative is MTN’s employee volunteerism programme. Proceeds from the race will go towards ICT in education. Saturday, 13 June 2015 First 4000 pre-entries will receive goodie bags. The race starts at 216, 14th Ave, MTN Innovation Centre, Fairland - JHB and finishes at MTN, 14th Ave. 21km @ 07h00 • 10km @ 07h00 • 5km fun run @ 07h30 21km winner takes home R21 000 RACE INFO RACE NUMBER COLLECTION Race office on Thursday 11 June @ 9:00am – 18:00pm | Friday 12 June @ 9:00am – 18:00pm at MTN Innovation Centre, 14th Avenue, Fairland, Johannesburg. Goodie bags to be collected at the race office. ENTRY FEE R100.00 for 21km Race | R70.00 for the 10km | R40.00 for the 5km fun run (children two years and younger do not pay). BANKING DETAILS Account Name: Enteronline (PTY) Ltd Bank: Nedbank Branch: Nicolway Branch Code: 152205 Account No: 1522173536 Reference: Surname and initials_MTN (eg. Smith AB_MTN) LATE ENTRIES From 5:00am until 6:30am on the day of the race, safe tog-bag area, unlicensed athletes for the 21km and 10km must purchase a temporary license number and must be included with the entry fee. LICENCES: Temporary License – R25.00 for 21km | R20.00 for 10km | No cost for 5km For race queries please email: [email protected] or call 011 844 0410. I declare that I am medically fit to walk/run, and if I am under 18, my parent or legal guardian has signed to the effect that I have permission to enter the MTN Race. I understand that I enter entirely at my own risk; I understand that the organizers / sponsors shall not be responsible for any direct and/or indirect injury, loss or damage, whatsoever, as a consequence of my participating in this event. I understand that my entry is subject to the organizers discretion and that after acceptance and in the event of cancellation of the MTN Race, due to reasons outside of MTN’s control,the entry fee is not refundable. I, _______________________________________ have read, understood and agreed to the rules and regulations of the MTN Race. My signature is consent of the above. ENTRY FEE PAYABLE Signed:__________________________ Date: Parent or Guardian (if under 18 years) Full name Parent/Guardian Relationship if parent or guardian: D D M M Y Y

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Page 1: First - MTN 8services.mtn.co.za/mtnfoundation/assets/pdf/2015MarathonForm.pdf · +R120 AIRTIME MTN SMARTPHONE +R120 AIRTIME MTN SMARTPHONE +R120 AIRTIME R10 000 ... The MTN Race will

Competition valid 13/06/2015 - 13/06/2015. Entrants must be 15 years or older and be a South African citizen or permanent resident. Entry fee differs based on event chosen. Race will be held under the rules of Athletics South Africa and Central Gauteng Athletics and Runners or Walkers participate at their own risk. Entry will be subject to completion of indemnity form. Names and images of winners may be published in any media, with the winner’s consent. See www.mtn.co.za for full Terms and Conditions. E&OE.

Entry Fee: R100.00 for the 21km // R 70.00 for the 10km // R 40.00 for the 5km fun runTemporary licenses will be on sale at R25.00 for 21km and R20.00 for the 10km run. Pre - entries will close on 2 June 2015 and Prize giving will be at 10:30am. All athletes need to respect and obey all officials and marshals assisting on the day of the MTN marathon -13 June 2015

Register online at www.entrytime.com or get entry forms from {CGA & AGN}:Sweat Shop Dunkeld, Jan Smuts Avenue • 011 325 2567 // Sweat Shop Fourways, Fourways Crossing • 011 467 5966Sweat Shop Southdowns, Irene • 012 665 0048 // Run-A-Way Sports, Lynnwood Rd, Pretoria • 012 361 3738Randburg Runner, Cnr 4th/5th Ave, Linden • 011 888 9644 // Bedford Runner, Van Buuren Rd, Bedfordview • 011 450 1847CGA Office, Germiston Stadium.

21KM

10KM

VETERAN[40 TO 49 YEARS]

MASTER [50 TO 59 YEARS]

GRANDMASTER[60 YEARS +]

R21 000

R2 100

MTN SMARTPHONE+R120 AIRTIME

MTN SMARTPHONE+R120 AIRTIME

MTN SMARTPHONE+R120 AIRTIME

R10 000

R1 500

MTN SMARTPHONE+R60 AIRTIME

MTN SMARTPHONE+R60 AIRTIME

MTN SMARTPHONE+R60 AIRTIME

R5 000

R1 000

MTN SMARTPHONE+R30 AIRTIME

MTN SMARTPHONE+R30 AIRTIME

MTN SMARTPHONE+R30 AIRTIME

R21 000

R2 100

MTN SMARTPHONE+R120 AIRTIME

MTN SMARTPHONE+R120 AIRTIME

MTN SMARTPHONE+R120 AIRTIME

R10 000

R1 500

MTN SMARTPHONE+R60 AIRTIME

MTN SMARTPHONE+R60 AIRTIME

MTN SMARTPHONE+R60 AIRTIME

R5 000

R1 000

MTN SMARTPHONE+R30 AIRTIME

MTN SMARTPHONE+R30 AIRTIME

MTN SMARTPHONE+R30 AIRTIME

1ST PRIZE 2ND PRIZE 3RD PRIZE 1ST PRIZE 2ND PRIZE 3RD PRIZE

OPEN MEN LADIES

This initiative is MTN’semployee volunteerism programme.

Proceeds from the race will go towards ICT in education.

Saturday, 13 June 2015First 4000 pre-entries will receive goodie bags.

The race starts at 216, 14th Ave, MTN Innovation Centre, Fairland - JHB and finishes at MTN, 14th Ave.

21km @ 07h00 • 10km @ 07h00 • 5km fun run @ 07h30

21km winner takes home R21 000

RACE INFO

RACE NUMBER COLLECTION Race office on Thursday 11 June @ 9:00am – 18:00pm | Friday 12 June @ 9:00am – 18:00pm at MTN Innovation Centre, 14th Avenue, Fairland, Johannesburg.

Goodie bags to be collected at the race office.

ENTRY FEE R100.00 for 21km Race | R70.00 for the 10km | R40.00 for the 5km fun run (children two years and younger do not pay).

BANKING DETAILSAccount Name: Enteronline (PTY) Ltd Bank: Nedbank Branch: NicolwayBranch Code: 152205Account No: 1522173536 Reference: Surname and initials_MTN (eg. Smith AB_MTN)

LATE ENTRIES From 5:00am until 6:30am on the day of the race, safe tog-bag area, unlicensed athletes for the 21km and 10km must purchase a temporary license number and must be included with the entry fee.

LICENCES: Temporary License – R25.00 for 21km | R20.00 for 10km | No cost for 5km

For race queries please email: [email protected] or call 011 844 0410.

I declare that I am medically fit to walk/run, and if I am under 18, my parent or legal guardian has signed to the effect that I have permission to enter the MTN Race. I understand that I enter entirely at my own risk; I understand that the organizers / sponsors shall not be responsible for any direct and/or indirect injury, loss or damage, whatsoever, as a consequence of my participating in this event. I understand that my entry is subject to the organizers discretion and that after acceptance and in the event of cancellation of the MTN Race, due to reasons outside of MTN’s control,the entry fee is not refundable.

I, _______________________________________ have read, understood and agreed to the rules andregulations of the MTN Race. My signature is consent of the above.

ENTRY FEE PAYABLE

Signed:__________________________ Date:

Parent or Guardian (if under 18 years)

Full name Parent/Guardian

Relationship if parent or guardian:

D D M M Y Y

Page 2: First - MTN 8services.mtn.co.za/mtnfoundation/assets/pdf/2015MarathonForm.pdf · +R120 AIRTIME MTN SMARTPHONE +R120 AIRTIME MTN SMARTPHONE +R120 AIRTIME R10 000 ... The MTN Race will

RACE NO: (OFFICE USE ONLY)

RACE OPTION: Additional cost for temporary licence at R25.00 for 21km and R20.00 for 10km

ENTRY FORM PERSONAL DETAILS

Surname:

First Name (s) :

Date Of Birth:

Identity Number:

Age On Race Day:

T - Shirt Size: Small Medium Large X Large Other Specify ____________

License: Perm Permanent Licence Number Temporary

TICK where applicable DISTANCE FEE

TICK TEMPORARY LICENCE IF REQUIRED

TOTAL

21km R100.00 R25.00

10km R70.00 R20.00

5km R40.00 N/A

Tel No (Cell):

Email:

EMERGENCY CONTACT:

Full Name:

Relation:

Cell No:

Medical Aid Name:

Medical Aid Number:

ADDRESS:

Physical Address:

Town/ City:

ENTER THE COMPETITION

D D M M Y Y Y Y

Results will be available after the race on www.finishtime.co.za

ENQUIRIES: www.mtnsafoundation.co.za and www.entrytime.com

RULES & REGULATIONS:

1. The MTN Race will be held under the rules of Athletics South Africa and Central Gauteng Athletics.2. Entrants participate at their own risk.3. One-lap course.4. Water points every 3km.5. Distance markers every kilometer.6. No seconding allowed.7. Temporary licenses will be on sale at an additional R25.00 to the entry fee payable for the 21km and at an additional R20.00 to the entry fee payable for the 10km race.8. Registered entrants must be a member of a club affiliated to ASA and wear club colours and a 2015 license number on the back and front of their vest.9. Entrants must be at least 15 years or older on the day of the MTN Race to enter for the 10km and 21km race. There is no age restriction for the 5km fun run. However, everyone under the age of 15 must be accompanied by a parent or an adult during the MTN Race and at the play area.10. Numerical age category ID tags must be worn on the back and front of the vest by entrants competing for a category prize.11. Proof of age must be provided to MTN Race officials on the day of the MTN Race if required.12. Cut-off will take place at the first 9km for the 21km race after two hours and the participants will be re-routed to the 10km finish line.13. Regretfully no entrants on wheelchairs will be allowed due to the nature of the route.14. 2, 3 or 4 wheel carts/prams which are mechanically or manually operated by participants will not be permitted to participate without the special permission of the MTN Race organizers and traffic authorities.15. Entrants will be eligible to win an open prize plus a prize for the age category that they are participating in.16. No entrant can qualify for any prize unless wearing a license or temporary license.17. No pets will be allowed to participate with their owners. 18. International entrants must provide a clearance letter from their country of origin to the referee in the event of their winning a prize.19. The pictures taken at the MTN Race may be utilized for marketing purpose only.20. Entry fee is not refundable.21. Marshals and all officials to be obeyed at all times. Failure to comply with the instructions of marshals and officials may lead to immediate disqualification.22. A tog-bag area is available. While care is taken with stored items, MTN will not be responsible for loss of or damage to property.23. No musical ear pieces are allowed.24. Parking at MTN premises is at your own risk.25. Race number collection: Race office on Thursday 11 June @ 9:00am – 18:00pm | Friday 12 June @ 9:00am – 18:00pm at MTN Innovation Centre, 14th Avenue, Fairland, Johannesburg.26. The MTN Race is run in accordance with the rules of ASA and CGA. Entrants indemnify the national, provincial and regional bodies, sponsors and organizers of the MTN Race against all and any actions ofwhatsoever nature.27. MTN its respective directors, affiliates, members, partners, employees, agents, consultants, suppliers, contractors, subsidiaries and sponsors assume no liability whatsoever for any direct or indirect loss or damage, including but not limited to physical harm or death, howsoever arising from or as a result of an entrant’s participation in the MTN Race or the entrant’s redemption of any prize in terms of this MTN Race, or from any amendments to prize details and/or the terms and conditions of this MTN Race. All entrants (including the winner) hereby expressly indemnify MTN in this regard and shall hold it harmless from all and any claims arising from or as a result of the above reasons.28. In so far as it is necessary, required by law or beyond the reasonable control of MTN, MTN reserves the right to vary the nature of the prize or these terms and conditions upon notice in this regard being published on www.mtn.co.za or in another appropriate medium. In the event that the prize is limited or varied in this manner, MTN shall replace the prize with a prize of a similar economic value.29. Any amended terms and conditions published in any media, or on the MTN website www.mtn.co.za will form part of the terms and conditions of the MTN Race, to which terms the entrants agree to be bound.30. The decision of MTN in respect of disputes arising out of this MTN Race shall be dealt with by MTN in terms of these terms and conditions. The decision of MTN in this regard shall be final.31. MTN shall request that winners consent in writing to their name, image and likeness being used and published by MTN in connection with this MTN Race for a period of 12 (twelve) months after they are announced as winners. Winners may decline the use of their name, likeness and image by MTN.32. Winners agree that it is an express condition of the MTN Race that in order to be eligible to redeem the prize, the winner shall be required to sign the appropriate acknowledgement of receipt of the prize, as well as an indemnity and/or waiver of liability as reflected in these terms.