2023 Online Registration
LIVINGSTONE MOTORBIKE FESTIVAL :: 5 & 6 August 2023
What you need to fill out the registration form:
Please read the Rules and Regulations by following the link below before continuing. Have the following documents at hand before filling out your registration form: Passport/NRC Documents, Medical Aid/Insurance information, ZMSA starting letter.
Registration opening soon.
Click here for Rules and Regulations
CONTACT INFORMATION
Please fill in all the required fields
Full Name
*
First Name
Last Name
Date of birth
*
/
Month
/
Day
Year
Date
Contact Number
*
-
Country Code
Phone Number
E-mail
*
REGISTRATION INFORMATION
Please fill in all the required fields
Country of Residence
ID Document Type
*
ID Document Number
*
Please supply the following Bike Information
*
FEES
Please choose your class and competition license
*
Categories:
All
All
Class
Competition License
prev
next
( X )
Class
National SENIOR
600
ZMK
(A1/A2/A3/A5)
Please select
A1
A2
A3
A5
Non-Championship CLUBMAN
600
ZMK
National JUNIOR
400
ZMK
(J1/J2/J3)
Please select
J1
J2
J3
Competition License
I already have a ZMSA Competition License
Free
ZMK
I require a ZMSA ANNUAL Competition License
1,050
ZMK
I require a ZMSA DAY Competition License
500
ZMK
I am riding in a Non-Championship Class and don't require a ZMSA License
Free
ZMK
I am a foreign rider and have start permission
Free
ZMK
Total
0.00
ZMK
I am a member of the following club:
*
I have read and accepted...
*
SR (Special regulations) - Read and Accepted
Indemnity - Read and Accepted
MEDICAL / INSURANCE INFO
Please fill in all the required fields
MEDICAL
*
I already have medical insurance with loading for Eduro & Offroad Motorcycle Racing.
I do not have medical insurance and would like to purchase Alliance insurance cover for this event.
Medical Aid/Insurance Name
Medical Aid / Insurance Number
Medical Contact Person
Name
Surname
Medical Aid Phone Number
-
Country Code
Phone Number
Please upload a copy of valid medical card. Please make sure to select image and then click upload before continuing.
Browse Files
Cancel
of
Blood Group
*
Allergies (if none, please type none)
Next of Kin
*
Name
Surname
Next of Kin Phone Number
-
Country Code
-
Area Code
Phone Number
CROSS BORDER INFO
Please fill in all the required fields
Are you crossing into Zambia through a border post?
*
Bike Information
I have read and accepted
*
Rules, Indemnity and Terms - Read and accepted
Email permission
*
I hereby give permission for email contact
Comments
Enter the message as it's shown
*
Submit Form
Should be Empty:
Now create your own Jotform - It's free!
Create your own Jotform