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BERG 100 and BERG 50 Entry
*
First Name
*
Last Name
*
Email
Gender
Male
Female
*
DOB (dd/mm/yyyyy) - no under 19s allowed for 100km
*
ID number (sorry we need both!)
*
Phone Number
Province
Kzn
*
Medical Aid Name
*
Medical Aid Number
Allergies/ Medical conditions?
*
Emergency contact name
*
Emergency contact number
*
Which distance will you be riding
109km (19 or older)
Lite (67kms - 19 or older)
*
Category (Bike Type)
MTB
Gravel Bike
E-Bike
How many Berg 100 races have you done to date?
0
1
2
3
4
5
6
7
8
9
10
11
Shirt size (unisex shirt)
S
*
Please confirm you agree to CSA and Berg 100's Rules and Indemnity and agree for our partners to touch base with you.
Yes
SUBMIT
Berg 100 2025
22 Mar 2025, 07:00
Nottingham Road
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