arsa.org.za - ARSA Register
AIDS Ride South Africa
ARSA 9.0 DATES TO COME

EXTREMELY IMPORTANT

NO ONE will be refused to ride due to lack of funds.  ARSA operates on a sliding scale, and some contribute only what they can.  In cases of individual economic difficulty we encourage everyone interested to register regardless of financial resources, and will work with participants to help you fundraise, obtain proper equipment, helmets, gear, and so on so that you can cycle with us to Cape Town. Please contact ARSA for an economic hardship waiver if you want to join the ride but need a little help.

Cycle on,

Bryan Mark Urbsaitis
ARSA Founder, Director

CYCLIST REGISTRATION
All blanks marked by * are required.
First Name: *
Last Name: *
Postal Address: *
City: *
Zip/Post Code: *
State or Province: *
Country: *
Email: *
Mobile Phone (Country Code/Area Code): *
Indicate your cycling ability: *
NOVICE ADVANCED PROFESSIONAL

How much of the route will you be joining us? *
ENTIRE ROUTE: Johannesburg to Cape Town
LEG 1: Johannesburg to Durban Conference (TRANSPORT VAN) 3 days
LEG 2: Durban to Port St. Johns (CYCLE) 3 days
LEG 3: East London to Jeffreys Bay (CYCLE) 3 days
LEG 4: Jeffreys Bay to Mossel Bay (CYCLE) 3 days
LEG 5: Mossel Bay to Barrydale (CYCLE) 3 days
LEG 6: Barrydale to Cape Town (CYCLE) 3 days
Single Day/City Rider:
I commit to fundraise a minimum of: 5,000R ($500USD) for South African & other African Cyclists, OR 20,000R ($2,000USD) for Overseas Cyclists.
*This amount is to be contributed before the start of the event*
**Route begins with TRANSPORT VAN from Johannesburg to Durban, then continues on BICYCLES from Durban to Cape Town**


Please complete your registration by paying the 2,000R ($200USD) NON-REFUNDABLE REGISTRATION FEE:

ARSA Cyclist Registration Fee = 2,000R ($200USD)
Cyclist Name: PayPal

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