Dune to Dirt Team Entry

TEAMS OF FOUR

Standard Online: R1200 per team
On the Day: R1500 per team

Membership No

Tick here if you're not yet a member. Membership is completely optional and free. Read more on our membership page.

Name *
Surname *
ID Number *
Age *
Guardian Name

Gender

 *
Cellphone *
Email *

I'm entering with a team.

Team Member 1 *
Team Member 2 *
Team Member 3 *
Team Member 4 *

Acknowledgement

 *
Emergency Contact Name *
Emergency Contact Number *