Entry Form

LDBA | 10-13 June 2021

Venue: Premier Hotel – The Winkler White River

Closing Date : 4 June 2021

33Days
17Hours
52Mins
21Secs

Early Bird rates on / before 30 April 2021. From 1 May all rate increase by R200.00 per category.

1st 15 ENTRIES TO PAY WILL BE IN A LUCKY DRAW TO GET A FREE SHARING ENTRY TO THE NEXT DUAL BIKE ADVENTURE

Max 100 entries allowed!

PLEASE NOTE: ONE ENTRY FORM PER PERSON!

  • Personal Information

  • Please select your dietary requirements below
  • Packages (Accommodation options)

  • CANCELLATION POLICY

  • Please note the following cancellation policy with regards admin fee and cost prior to the event to be deducted from your refund:
    • No refund on / after 4 June 2021 as all suppliers have been paid sorry!
    • Should the event be cancelled due to Covid-19, full refunds will be paid.
  • 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.

  • 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.

    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

  • Account NameRdb Marketing
    Bank:Standard Bank, Nelspruit
    Branch:052852
    Account nr:032 900 759
    Please use your Initials and Surname as ref nr
  • This field is for validation purposes and should be left unchanged.