EmailMe Form - Eastcapescapade #6, 2022

Name *

First Last

Username / AKA

Phone# *

Confirm Phone#

Email *

Confirm Email

Emergency Contact Name *

Emergency Contact Phone *

Confirm Emergency Phone

Bike or Support vehicle? *

Bike

Support Vehicle

Preparation - Please read and tick all of these. *

I can cover >170km between fuel purchases

I will wear appropriate gear

I have a rough idea of my destinations

I have accommodation and bedding etc both nights

I will not be relying on cellphone service for navigation or otherwise

I have $30 dollarydoos to help fund the helpers

I am confident in my shitty bike

Serious *

I'm really confident in my shitty bike

Accountability *

I will do my best to roughly know the route, and not to get separated

I double checked and have sorted my accommodation both nights

My behaviour and attitude is beyond reproach

I will abide by the road rules

Dickhead behaviour gets me excuded

I will moderate my drinking to maintain safe and legal behaviour

This isn't a piss trip.

Extra info *

I have first aid training or similar

I'll bring a Personal Locator Beacon or similar

I have a medical condition, and will have any required medicine on me, and/or instruct someone on relevant info.

Fuck yeah