Entry Form – The Roof of Africa 2021

ENTRY FORM

Entry Form

Class*
Personal Information
Entrant/Sponsor
Name*
First Last
ID Number*
Country of Residence*
Shirt Size*
Competitor Cell Number*
Competitor Email*
Enter Email Confirm Email
MSA License Number*
*One Event Licenses will only be available by MSA, 4 weeks before the event. If you do not currently have an MSA please insert - TBA.
MSA License Upload 2MB Limit
Accepted file types: jpg, pdf.
*One Event Licenses will only be available by MSA, 4 weeks before the event.
Motorcycle Information
Motorcycle Brand*
Model*
Engine Capacity*
Tyres*
Oil*
Emergency Contact
Name*
First Last
Emergency Contact Number*
Medical
Medical Aid*
Type of Scheme*
Membership Number*
Main Member*
Roof of Africa History
How many Roof of Africas have you started?*
How many Roof of Africas have you finished?*
Declaration*
I declare that the information given about me is correct.

Contact Us

info@roofofafrica.co.ls

+27 65 542 4033