FARMERS CHOICE KENYA CYCLING ROAD BIKE RACE (18th June 2017)
All entry fees are payable by M-pesa to number 0721291414 . M-pesa reference must be indicated in the entry form to enable registration of your entry. Entry fees are:

ENTRY FEES
Before 16th June                                        Ksh.  2,000
Entry fee on the day                                    Ksh. 5,000
All entrants will receive a goodie bag containing one Farmer's Choice polo shirt and a Farmer's Choice voucher.

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Please note that normal entry closes on the 16th of June 2017 , late entry fee is Ksh. 5000 only for entries on race day and is payable in cash and will only be open up to 8.00 a.m, this will be subject to availability of places also note that late entries will not receive a goodie bag.

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All entrants MUST complete and submit the entry form.

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First name *
Last name *
Gender *
Required
Date of Birth *
MM
/
DD
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YYYY
Race category *
Required
Shirt size
Your email address *
Telephone number *
Emergency contact person *
Emergency contact number *
M-Pesa confirmation code *
Statement:
WHILST REASONABLE PRECAUTIONS WILL BE TAKEN BY THE ORGANIZERS TO ENSURE A SAFE RIDING ENVIRONMENT PARTICIPANTS ENTER THE EVENT ENTIRELY AT THEIR OWN RISK ACKNOWLEDGING THAT THIS IS AN OPEN ROAD EVENT AND THAT THE ORGANIZERS WILL NOT BE HELD RESPONSIBLE OR LIABLE FOR ANY LOSS OR DAMAGE, PERSONAL OR OTHERWISE, INJURY OR DEATH HOWSOEVER CAUSED ARISING BEFORE, DURING OR AFTER PARTICIPATION IN THE EVENT . TICK THE BOX BELOW TO CONFIRM YOUR UNDERSTANDING AND AGREEMENT TO THE ABOVE, AND TO CONFIRM THAT YOU WILL SIGN A DISCLAIMER AND INDEMNITY FORM ON COLLECTION OF YOUR RACE PACK.
I AGREE TO THE ABOVE STATEMENT. *
Required
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