2024 Entry Form 2024 Mauritius Cycle Tour Entry Form 2024 Mauritius Cycle Tour Entry Form Please complete the 2024 Mauritius Cycle Tour Entry Form for each member entering the Race. Name * Name First First Last Last Email * Phone * Date of Birth DDMMYYYY * Age * ID Number / Passport Number * Nationality * Do you have health issues? * Yes No If Yes, please provides details and be sure to bring a Medical Certificate Are you a disabled Athlete? * Yes No If Yes, please provide details of your diability Emergency Contact Name * Emergency Contact Name First First Last Last Emergency Contact Phone Number * Street Address * Street Address 2 * City * State / Province * Country * Postal Code * Bicycle Type * Road Bike Mountain Bike Tandem E-Bike Wheel CHair Select Race * 100KM Main Race 65KM Social Ride 20KM Kids and Para Athlete Category * Female Male Scholar * No Yes Payment Option * Pay Online Rs750 - Our Preferred Option Pay at Collection Rs850 Paragraph Waiver and Indemnity I, the undersigned entrant/guardian of the entrant (*), for my family, team and accompanying persons, hereby waive all claims of whatsoever nature and howsoever arising in relation to the Mauritius 100km Cycle Tour (‘Event’) or otherwise against any parties, including but not limited to the organising bodies, sponsors, marshals, officials and advertisers and/or their directors, employees, suppliers and assistants of these parties, including any individual or agent ("the Parties”). I, hereby irrevocably and without need for consideration, indemnify and hold harmless the Parties against any (i) liability and/or claims of any nature whatsoever and however arising (whether directly or indirectly caused and whether arising from negligence, albeit gross, or from the participation or involvement in or passage to or passage from the Event or otherwise) or (ii) loss or damage to property or costs and expenses sustained, incurred or put to by Entrant and/or by any minor children under the care or control of Entrant. I, the undersigned, hereby warrant that I have read and I understand and undertake to observe all the instructions, rules, regulations and guidelines of this race and be bound by them. Waiver and Indemnity Acceptance * Terms Accepted Submit If you are human, leave this field blank.
