Team2024 2024 Mauritius Cycle Tour TEAMS Entry Form 2024 Mauritius Cycle Tour TEAMS Entry Form Please complete the 2024 Mauritius Cycle Tour Entry TEAM Form for all four members of the Team. Be sure to complete ALL fields Team Name * Rider One Name * Rider One Name First First Last Last Rider One Email * Rider One Phone * Rider One Date of Birth DDMMYYYY * Rider One Age * Rider Two Name * Rider Two Name First First Last Last Rider Two Email * Rider Two Phone * Rider Two Date of Birth DDMMYYYY * Rider Two Age * Rider Three Name * Rider Three Name First First Last Last Rider Three Email * Rider Three Phone * Rider Three Date of Birth DDMMYYYY * Rider Three Age * Rider Four Name * Rider Four Name First First Last Last Rider Four Email * Rider Four Phone * Email * Phone * Rider Four Date of Birth DDMMYYYY * Rider Four Age * Team Leader ID Number / Passport Number * Team Leader Nationality * Team Emergency Contact Name * Team Emergency Contact Name First First Last Last Team Emergency Contact Phone Number * Team Leader Street Address * Team Leader Street Address 2 * Team Leader City * Team Leader State / Province * Team Leader Country * Team Leader Postal Code * Bicycle Type * Road Bike Mountain Bike Tandem E-Bike Wheel CHair Select Race * 100KM Main Race Payment Option * Pay Online Rs3000 - Our Preferred Option Pay at Collection Rs3400 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 If you are human, leave this field blank. Submit