Confirm Details Where do you reside?(Required)SelectCape TownJohannesburgKwazulu NatalOtherPlease select which region you will be travelling from?(Required)SelectEastern CapeFree StateGautengKwaZulu-NatalLimpopoMpumalangaNorth WestNorthern CapeWestern CapeName(Required) First Last Phone(Required)Email(Required) Dietary Requirements(Required)SelectNONEVEGANVEGETARIANHALAALKOSHERPESCETARIANGLUTEN FREEDAIRY FREEDIABETICAllergies(Required)SelectNONEGLUTENDAIRYNUTSSHELLFISHOTHERAllergies - Other(Required)Next of Kin(Required)Contact Number(Required)Consent(Required) I agree to the disclaimerDisclaimer: I, my heirs, dependants, agents, executors and or their assignees, hereby hold harmless and indemnify Telkom, the Venue owner, the party providing the Transport and/or any linked service provider and/or the Suppliers and/or its members and/or directors and/or partners and/or shareholders and/or employees and/or agents and/or sub-contractors and/or suppliers and/or against the owners of premises upon which/where the Activities take place/are conducted (‘the Indemnified Parties’) against any consequences of visiting or incidents at the Venue or the Operator’s location at the Venue or participating in the Activities and/or participating in the Transport and/or en route to/from the Venue and I waive any claims I may have against the Indemnified Parties of whatsoever nature and howsoever arising.Consent(Required) I have read, and accept, the Terms & ConditionsView Terms and Conditions here Contact Details Telkom Employee:Zelna Lloyd0813540855 | lloydZ@telkom.co.za Event Manager:Gino Silver0763923209 | gino@retailinsight.co.zaSheryl Sansom – Event Support083 229 7307 | Sheryl@Retailinsight.co.za Event Info 15th February:Arrival at Pont de Val18th February:Depart Pont de Val Location Map