2021

WALKER REGISTRATION

Registration 2021

The cost of the L2L ladies’ walk 2021 is R6500.

This amount is made up of:

non-refundable Registration Fee of R2500; and,
minimum funds raised by the walker of R4000

The Registration Fee for the 2021 Walk is R 2500.00 per walker (non-refundable unless the event is cancelled by us).

The fee includes the following:

3 nights’ accommodation at Die Dam Holiday resort
3 breakfasts and dinners provided by L2L Ladies Walk
Transport from Hermanus by bus, to and from Die Dam Holiday resort, to each day’s start and stop points
L2L Travel bag for 1st time walkers
The Official L2L 2021 T-shirt
Donation towards runner-up charity for the Official Practice Walk
Entry fees for National Parks during 4 day walk
Administration Fees

raise funds

The primary purpose of this walk is to raise funds for an elected Charity.

Each walker commits to raise a minimum of R4000 for the charity selected as main beneficiary. Walkers are able to raise far more than this minimum amount, but the minimum needs to be paid before the walker can participate in the L2L walk.

This money is paid in two (2) payments:

Payment 1 – the first payment of R2000 is paid on or before 30 November 2020
Payment 2 – the second payment of R2000 is paid on or before 31 January 2021

PLEASE NOTE

Before completing the registration form, please note the following:

1. Once the complete registration form is received and reviewed for completeness, an email is sent to you with the L2L banking details.

2. All declarations need to be “ticked” below so that registration form is complete.

3. The signed terms and conditions forms needs to accompany the proof of payment of the registration fee to confirm your registration

4. Your registration will only be confirmed once the registration fee has been received.

Any queries can be directed to Carien at registrations@lighthouse2lighthouse.co.za.

TERMS & CONDITIONS

Bring light

Lighthouse 2 Lighthouse is committed to bringing light through fundraising for specific charities that have applied for funding in the Overstrand.

These charities apply annually to L2L for funding. A short list is compiled by the L2L committee.

The shortlisted applicants are then required to present their projects for selection by the registered L2L walkers.

Once the main beneficiary is selected, the walkers are informed about the choice.

The secondary beneficiary – the runner up in terms of the votes cast by the walkers – is granted the funds raised during the Official Practice Walk.

Due to the COVID-19 pandemic a decision was made to also raise funds the remaining charities for 2021. The monies raised during the Virtual Walk series and the other Practice Walks will be shared equally amongst these charities.

REGISTRATION FORM 2021

Name *

First

Last

ID no *

South African Identity Number OR Passport# and Country of Residence if foreign

Date of Birth *//

Please enter your date of birth, this is used for age group statistics.

Residential Address *

Street Name & Number, Or house Name

Town/City *

Province *

Please Pick the Province from the drop down list, or select "OTHER" if you are not from South Africa. This is for Statistical Purposes

Country *

This is for Statistical Purposes, please type the name of your Country.

Postal Code *

Cell Phone Number *

Additional Contact Number

Email address *

Confirm Email

Language Preference *

Accommodation *

Chalet (rooms may be shared, there are some single beds but most are double beds to be shared. Walkers bring their own sleeping bag & pillow). Camping is available (Walkers provide their own tents)

Regular Exercise or sport? *

What exercise or sport do you participate in regularly?

T-Shirt Size *

Please pick a T-shirt Size from the drop down List

IN CASE OF EMERGENCY:

The detail below is required as we have to provide an ICE (In Case of Emergency) Card to be attached to your day pack

ICE: Emergency Contact Information *

Format: Relation; Name; Cell#; Email; eg. Husband; D.Smit;0830010001;dsmit@me.com

ICE: Doctor *

Name and contact number of Doctor

ICE: Medical Aid *

Medical Aid Name; Member Number; Dependent Code; Med Aid Authorisation Tel. eg Discovery;016245221;01;086998877

ICE: Blood Type *

If you do not know your Blood group, please go and have it tested as this has to be printed on your ICE card

Allergies

Chronic Medication

Profession *

What do you do for a living? (Job)

Have you done the Lighthouse2Lighthouse Walk before?

Declarations: *

I have read the Terms & Conditions
I am aware that the entry fee of R2500 is non refundable unless the event is cancelled by us
I am aware that the dates for the walk is: 13 May - 16 May 2021
I am aware that the entry fee of R2500 is payable within 24 hours of confirmed acceptance of my entry
I know that the primary purpose of this Walk is fundraising. I commit to raise a minimum of R4000 (in addition to the entry fee) and I will abide by the deadline of 31 January 2021 for the first compulsory payment of R2000 and 13 April 2021 for the rest.
I am committed to train to be fit to walk 100km over 4 days at an average speed of 4km/h over varying terrain, beach, pebbles, gravel roads, rocks etc.
I am aware that if Covid-19 regulations limit the number of participants, then places for the walk will be allocated according to bank deposit sequence.

Please be sure to check and tick ALL the declarations above.

Additional Comment

Name