Unjani Clinic Soshanguve South View — Fun Walk/Run

Register below. After you submit, you’ll confirm the amount and complete payment. A printable color walk-in form is included.

Enter your details and choose a T-shirt size.

Enter the registration amount and continue to pay.

Receive confirmation via email.

Important: The registration fee is non-refundable once paid. Please review your details before proceeding.

Name and surname *

Primary contact number / cell phone number *

Age *

Email address *

Emergency contact person name and surname *

Emergency contact person's cell phone number *

T-shirt size *

Registration amount (R) *

By proceeding you agree that the registration fee is non-refundable and consent to the indemnity above.

EFT Banking Details

Account Name: UNJANI SOUTH VIEW CLINIC

Bank: First National Bank (FNB)

Account Type: Gold Business Account

Account Number: 62754201558

Branch Code: 250107 (Soshanguve)

SWIFT: FIRNZAJJ

Payment Reference REQUIRED: Use your SURNAME & INITIAL exactly (e.g., DLAMINI T) as the payment reference when you make the EFT.

Unjani Clinic Soshanguve South View — Fun Walk/Run

Please complete clearly in block letters. Fee is non-refundable once paid.

Scan to register

Walk-in Registration

Name and surname:

Primary contact number / cell:

Age:

Email address:

Emergency contact name & surname:

Emergency contact cell:

T-shirt size (circle): XS S M L XL XXL Registration amount (R):

Consent & Indemnity: I confirm willingly and voluntarily participation in the Fun Walk/Run and understand that this is at my own risk. The host and/or any sponsors and staff members (including partners and participants in the event) shall not be held responsible for any loss, damage, injury or death of property or life resulting from participation in this event.

Participant Signature: ____________________________ Date: _____________