ENTRY FORM DELTA BACKYARD ULTRA7:00 am | 30 April 2023 "*" indicates required fields Race EntryEntry Category*Select from list belowEarly Bird: Open (over 18) - R800Early Bird: Masters (over 60) - R650Early Bird: Teen (12 to 18) - R450Early Bird: Kiddo U12 (no race garment) - R80Early Bird: Group Entry (5 or more) - R720Group Name Each member in the group is to use this name when entering to confirm the group consists of at least five participants. If you are less than five, please select the individual entry option.Total Personal DetailsName* First * Last * Nationality* ID Number*Mobile Number*Email* Address* Street Address City Province Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Medical and Emergency Contact DetailsMedical Aid Name* Medical Aid Number* Next of Kin Name and Surname* Next of Kin Mobile Number*Race GarmentGarment Cut*Select from list belowLadiesMenGarment Size*Select from list belowXSSMLXLXXLRunning History and ExpectationFurthest distance run in a single-stage foot raceSelect from list below5km10km15km21.1km (half marathon)32km42.2km (marathon)50km56km (Two Oceans Marathon)80km (50-miler)90km (Comrades Marathon)100km160km (100-miler)200km +Expected Number of Yards*This gives us an indication of the number of yards you want to complete. You can keep going and do as many yards as you want on race day. Select from list below1 to 3 (up to 20.1km)4 to 6 (up to 40.2km)7 to 12 (up to 80.5km)13 to 24 (up to 160.9km)25 to 48 (up to 321.9km)49 to 96 (up to 643.8km)Waiver and DisclaimerWaiver and Disclaimer*I, the participant, know that trail running is a potentially hazardous activity. I am medically able and fit to enter and run this event. I agree to abide by any decision of a race official relative to my ability to safely complete the race. I hereby certify that I am in good health and I am confident that I can run the distance of the race I am entering. I assume all risks for participating associated with trail running and hiking, including but not limited to falls, contact with other participants, the effects of weather, traffic, and conditions of the roads, all such risks being known and appreciated by me. Having read this waiver and knowing these facts and in consideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf, hereby waive and release Snowy Mountain Endurance (Pty) Ltd, it's members, employees, contractors, Camp Delta and all sponsors and advertisers, volunteers and providers of services to the race, their representatives and successors from all claims and liabilities of any kind arising out of my (or entrant’s) participation in this event even though the claim or liability may arise out of the negligence or carelessness on the part of any person named in the waiver. I further authorise and empower the race director, if after a reasonable attempt has been made to reach a parent, guardian or emergency contact to obtain consent, or if sound medical practice decrees that there is not time to make such an attempt, to consent to and authorise any medical care or treatment for the participant that may appear reasonably necessary as a result of emergency, accident, or illness of the participant whether occurring before, during, of after the event. I assume full responsibility for the cost of any treatment given. The choice to participate in the race is soley mine. Neither I nor any person in my care was encouraged to participate in the race by virtue of any warranty, promise or undertaking given by the Snowy Mountain Endurance (Pty) Ltd or any other person. Further, I grant full permission to the foregoing to use any photographs, motion pictures, recordings, or any other record of this event for any legitimate purpose, including commercial advertising without monetary payment to me. By submitting this form I understand and agree to the terms of this waiver. I agree to the privacy policy.CAPTCHAYou will be redirected to the payment page after clicking 'Submit'. Total EmailThis field is for validation purposes and should be left unchanged. Any queries?events@snowymountain.run+27 72 1997899 HOME POWERED BY