DBA Entry Form - Dual Bike Adventures

Personal Information

Name*

First Last

Phone*

Email*

Town

Province

Dietary Requirements

Please select your dietary requirements below

Bike Make and Model

T-Shirt Size

Preferred Route

Green Route
Red Route
Black Route

Medical Aid

Medical Aid Number

Next of Kin

First Last

Phone

Packages (Accommodation options)

Tick your accommodation option

• T-shirt and backup support included.
• All Dinner, bed, breakfast and lunches are included from Thursday dinner to Sunday breakfast
• All toll fees and border crossing fees are excluded.

Option 1: Single | R7800 per person
Option 2: Sharing | R5950 per person
Option 3: Pillion / Partner Sharing | R5000

Accommodation sharing with (Person or Group)

NEED TO KNOW

IMPORTANT INFORMATION*

Yes

I am aware of the Eswatini NEED TO KNOW as per MAIN PAGE info and I do have a valid passport not expiring within 6 months from the date of entry.

CANCELLATION POLICY

Please note the following cancellation policy with regards admin fee and cost prior to the event to be deducted from your refund:
• Full refund by end of May 2024
• R350 From 1 June - 21 July 2024
• No Refund from 22 July 2024

Tick Box to continue*

I am aware of the Cancellation Policy

RELEASE, WAIVER & INDEMNITY

I agree that the DBA organisers, guides and all other event participants, contractors, all private land owners and hotels shall not be liable under any circumstances for any damage and/or loss or any personal injuries or illness which any participant or company may suffer directly or indirectly. I acknowledge that this waiver and indemnity has been voluntarily made by me and in my personal capacity. I further declare that I am aware of the risks upon participating in this event, which risks I hereby accept! I accept the routes as it stands for any given day with all or any dangers, defects or hazards whether hidden or exposed; The organisers are not responsible for any cost involved in medical air evacuation.

MEDICAL

I declare that I am medically and physically fit and capable to participate in the event. I acknowledge and agree that if required, the Indemnitees (or any of them) may arrange medical or hospital treatment for me. I authorise such actions being taken by the Indemnitees and agree to meet all costs associated with such action.

Please note that AfriCare – SwaziCo Medics 0911 will be our medics once again.

CONFIRMATION

I hereby confirm that I am in the possession of a valid driving licence that entitles me to operate a Motorcycle on South African roads. I will at all times adhere to the traffic laws and the rules of group travel and not endanger / damage any person or nature. I confirm that I am physically and mentally able to safely operate the motorcycle.

Tick the box to confirm*

Terms Accepted!

By selecting the above box I have read and understand the rules and regulations and signify my agreement to abide by these rules signing this entry form

DBA BANKING DETAILS

Banking details have changed to the following

Account Name	R. de Bruyn
Bank:	Standard Bank
Branch:	052852
Account nr:	030 294 452

Please use your Initials and Surname as ref nr

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Email

This field is for validation purposes and should be left unchanged.

Date: 1 – 4 August 2024

ENTRIES CLOSED

A VALID PASSPORT IS REQUIRED!