Huis Horison

Span Naam *

Tipe Pot

Begintyd (Potjies word stiptelik om 12:00 beoordeel) *

Gee aanduiding hoe laat jul met jul pot begin? Deelneemers moet asb hul eie vuur aansteek en aan die gang hou. Hout en dromme sal verskaf word.

Spanlede

Spankaptein Naam (kontakpersoon) *

First

Last

Naam en Van

Epos Adres *

Selfoon Nommer *

Spanmaat 2 *

First

Last

Epos adres *

Selfoon Nommer *

Spanmaat 3

First

Last

Spanmaat 4

First

Last

REELS *

I agree to abide by the rules and regulations of this competition.

VRYWARING *

I agree to enter and participate in the Horison Potjiekos Competition entirely at my own risk and indemnify the organisers, sponsors, Huis Horison and any person assisting in the organisation of the event against any claim whatsoever.

BETALING

U kan inskryf deur hierdie vorm te stuur en daarna per EFT of Snapscan betaal. Ons sal u inskrywing per epos bevestig.

Email *

Name

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Spanlede

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