2013 BANK WINDHOEK CORPORATE CHALLENGE RELAY ENTRY FORM Reminder: er Get team togeth t! sep Before 7 Enter your Running and Walking Teams now Each member will run or walk 5 km. Date: Time: Venue: Saturday, 7 September 2013 14:00 - 18:00 Trustco United Sport Club, Olympia, Windhoek Closing date for Entries is Monday, 2 September 2013, before close of business. For more information or an entry form contact: Charles Gordon +264 81 124 9471 Tel: Email: [email protected] Website: www.bankwindhoek.com.na CORPORATE CHALLENGE RELAY ENTRY FORM CORPORATE CHALLENGE RELAY Note: Each team needs to complete an entry form. Entry Fees: (Per Team) N$ 400 BANK WINDHOEK CORPORATE CHALLENGE RELAY 07 SEPTEMBER 2013 Entry Fees: (School Team) N$ 200 NAME OF ORGANISATION FOR OFFICIAL USE ONLY Team Number:_____________________ Payment: K T G Amount Received TEAM NAME (BE CREATIVE) (All correspondence will be addressed to the team manager at company address) Postal Address: Team Manager: Name & Surname MD/PRO/Marketing Director: Name & Surname Tel No Fax No Cell No E-mail Tel No Fax No Cell No E-mail Running Team Mixed 2 men + 2 women or 3 women + 1 man Walking Team Men 4 men or 3 men + 1 woman Women Veterans 4 women 4 participants over 40 of either gender TEAM CATEGORIES (Refer to rules before completing) 1. TEAM CATEGORY (Please tick or mark appropriate block with an X) Men Women Veterans Mixed Accountancy Manufacturing Financial/Insurance Legal Tourism Energy/Petroleum Health Care Engineering Retail/Wholesale/Stores Agriculture/Mining Educational Media/PRO/Printing Building/Properties Transportation/Shipping Other Businesses Government Dept. / Embassies / City Councils 2. OPEN CATEGORIES (Please tick or mark appropriate block with an X) (Refer to rules 3.1 and 3.2) Mixed Men Women 3. SCHOOL CATEGORIES (Please tick or mark appropriate block with an X) High Schools (Boys) Primary Schools (Boys) High Schools (Girls) Primary Schools (Girls) All team members must belong to the same school and must be younger than 19 and older than 9 years. All 4 members must be either boys or girls. DETAILS OF TEAM MEMBERS (MUST BE COMPLETED) Date of birth Name Sex Age dd mm yy Surname Position in Company/ Organisation 1 2 3 4 SUMMARY OF AMOUNT PAYABLE TO CORPORATE CHALLENGE RELAY Entry Fees N$ Hospitality Site HEREBY ENCLOSED FOR THE ABOVE AMOUNT: CASH N$ CHEQUE Total N$ DEPOSIT SLIP Undertaken by the Team Manager on behalf of all team members: We agree to abide by the rules of the race and enclose our cheque per team of four. We understand that we are participating in the Corporate Challenge Relay at our own risk and hereby indemnify the sponsors and organisers against any claim, whatsoever, which may result from our participation. We understand that it is our responsibility to be medically fit to participate. We confirm that we are bona fide employees of our company, or belong to the same club/educational institution prior to date of race. Team Manager Signature Name Date POSTAL ADDRESS: PO BOX 30769, WINDHOEK. E-MAIL: [email protected] HAND DELIVERIES: ANY BRANCH OF BANK WINDHOEK FAX ENTRIES: (061) 241728 ENTRY FORM MUST BE ACCOMPANIED WITH BANK STAMPED DEPOSIT SLIP Bank: Bank Windhoek Account No: CHK 8003622245 Branch Code: 483872 Account Name: United Sport Club – Bank Windhoek Corporate Challenge Relay 2 2013 BANK WINDHOEK CORPORATE CHALLENGE RELAY “YOUR AFTER EVENT FUNCTION” - Hospitality Sites CORPORATE CHALLENGE RELAY For official use only The event provides the ideal opportunity for corporate entertainment and teambuilding. Entertain your team members and other colleagues during and after the Relay and enjoy a fun-filled day. Team No: _____________________________ Site No: ______________________________ HOSPITALITY SITE BOOKING FORM Company Name: Contact Name: E-mail: Office Tel: Fax No: Cell No: Demarcated hospitality site options A B C D E F G Site capacity Up to 8 people (approx. 5m x 5m) Up to 20 people (approx. 10m x 5m) Up to 30 people (approx. 10m x 10m) Up to 50 people (approx. 15m x 10m) Up to 75 people (approx. 15m x 15m) Up to 90 people (approx. 20m x 15m) Up to 120 people (approx. 20m x 20m) Price N$ 90.00 125.00 150.00 200.00 240.00 300.00 350.00 Any company that enters 4 teams will receive one free hospitality site of 5 x 5m. Submit your bookings by 2 September 2013: Fax to: (061) 241728 or E-mail to: [email protected] Enquiries: Charles Gordon 081 124 9471 Fax: (061) 241728 E-mail: [email protected] THE ROUTE Note: Each member of a running and walking team will run or walk 5 km. 2013 BANK WINDHOEK CORPORATE CHALLENGE RELAY 3 THE RULES Running and Walking - 4 x 5km (Total of 20km) Start: 14:00 - Finish: 18:00 1. TEAMS AND TEAM CATEGORIES a. There will be four basic categories: Men (consisting of 4 men or 3 men and 1 woman ), Women (consisting of 4 women), Veterans (consisting of 4 participants over 40 of either gender), Mixed (consisting of 2 women and 2 men or 3 women and 1 man). b. Teams will consist of four members each doing one leg. A team member can, however, participate for more than one team, as long as it is one leg per team. c. All four members must belong to the same organisation, club, school, etc. Each team member must be a bona fide employee, employer, club member, scholar, etc. prior to date of race. Regarding only the corporate categories, exceptions to the rule can be made and is listed in 1(d) and 1(e). d. Organisations participating under the corporate categories with fewer than ten (10) employees are entitled to join forces with another organisation in the same trade, also employing not more than ten (10) people, in order to make up a team of four (4). In such cases the name of the organisation that has the most participants in the team must appear on the entry form. e. Rule 1(d) also applies to people engaged in professional practices e.g. doctors, attorneys, accountants, architects and engineers, who do not qualify to enter teams as per rule 1(c) above and are invited to enter teams comprising of persons engaged in the same profession, but not employed by the same company/ practice/organisation. 2. CORPORATE CATEGORIES a. All teams must qualify in terms of the business categories listed on the entry form. Organisations (listed or not) must enter the categories applicable to the nature of their business and not individual departments or job functions. Team captains will be consulted in such cases. b. The education category: This category is for employees only and NOT for students. Students enter under the OPEN category and scholars/learners under SCHOOL categories. 3. OPEN CATEGORIES a. This is for non-corporate teams such as sport clubs, business clients, churches, family and friends. b. Participants compete in the three basic categories. Men, Women and Mixed Teams. Rule 1(a), 1(b) and 1(c) apply for the composition of such teams. 4. SCHOOL CATEGORIES a. All team members must belong to the same school and must be younger than 19 and older than 9 years. All four members must be boys or girls as combined (mixed) teams are not allowed in this category. 5. ADDITIONAL RULES FOR RUNNING AND WALKING TEAMS a. Members for running teams may walk, BUT members of walking teams MAY NOT run. b. Walking teams will participate under the general rules of road walking and running teams under the general rules of road running. It is each participant's responsibility to be familiarised with these rules. c. Walking or Running teams will start and end on the grounds of Trustco United Sport Club. Please see “The Route” on Page 3. 6. FOOD AND BEVERAGES We would like you to support this fundraising initiative by pre-ordering your food and beverages for your hospitality site. Braai packs and drinks can be pre-ordered from [email protected] on or before Monday, 2 September 2013. 7. DEADLINE FOR ENTRIES Monday, 2 September 2013, before close of business. 8. REGISTRATION The registration of all teams will be done at Trustco United Sport Club, Esther Brand Street in the Tent, on Friday, 6 September from 14h00 to 19h00. 9. PRIZE-GIVING CEREMONY Time: 18h00 Venue: Trustco United Sport Club All participants will receive a finisher's medal. Winners in the different categories will receive a gold or silver medal. After the prize-giving event there will be entertainment by well-known artists. During the daytime there will be an entertainment area for kids. The full programme and additional information will be provided to the registered teams. 4 2013 BANK WINDHOEK CORPORATE CHALLENGE RELAY
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