7/28/2019 Time Runner Public Race Registration Form

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CLOSING DATE: 21 JULY 2013

VENUE : KEPONG BOTANICAL GARDEN (KBG)

TART TIME : 8:30AM

ORGANIZER : GLOBAL ACTIEVENT

FULL NAME

ADDRESS

POSTCODE

TELEPHONE NO: (H/P) (H)

I/C NO./ PR NO./ PASSPORT NO.

GENDER AGE DATE OF BIRTH

M F DD/MM/YY

NAME ON TAG( SHORT FORM) T-SHIRT SIZE

EMERGENECY CONTACT PERSON TELEPHONE NO.

CASH RECEIPT

Received From : __________________________ Date:_______________________________

Name On Tag :___________________________ T-shirt Size:__________________________

Address :__________________________ MYR:_______________________________

________________________________________

By :_____________________________

NO:

NO:

RACE START: 25 AUGUST 2013

Payment Method:

All payment can make by direct cash payment, demand draft (D.D.) or

direct bank in.

Direct cash payment can be made at our outdoor registration counter.

For payment method D.D. and direct bank in, please contact us for bankaccount detail and please scan your form and payment receipt to our

email: Global.actievent@gmail.com to get your Race Pack Collection

(RPC) Code or you can also send us your form and payment receipt byosta e.

mailto:Global.actievent@gmail.commailto:Global.actievent@gmail.commailto:Global.actievent@gmail.com

7/28/2019 Time Runner Public Race Registration Form

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Rules & Regulations1. AGE QUALIFICATION: Age 13 years and above. (For the participants whose age is 13 yrs to 15

yrs must attach with parents consent form that provided)

2. NATIONALITY:Open to all Malaysian.

3. VERIFICATION DATE OF BIRTH: All winners must produce identity card or other valid

identification document to authorized technical officials and or the Organiser.

4. REGISTRATION & INFORMATION COUNTER: Will inform through our FACEBOOK PAGE

(https://www.facebook.com/TR.TimeRunner).

5. SUBMISSION OF ENTRIES:All entries must be submitted on the official entry form. Photostat

copies are also acceptable.

6. TEAM MEMBER: 5 members per group. (Must register & pay within a group.)

7. ENQUIRIES: Please contact us for more information.

a) Organiser Mr. JOHN KHOR Hp No. (017-6954178)

b) Like our FACEBOOK PAGE for more information.

(https://www.facebook.com/TR.TimeRunner)

8. REGISTRATION FEES: Registration fees including t-shirt.

17 JUNE 2013 -- 23 JUNE 2013 RM70 PER PERSON

24 JUNE 2013 -- 07 JULY 2013 RM80 PER PERSON

08 JULY 2013 -- 21 JULY 2013 RM90 PER PERSON

WAIVER CLAUSE

the participant, am entering the Event or Activity at my own risk, I hereby abandon and release any and all right or claims to

amages I may have against the Organiser holding this Event or Activity, their representatives, agents, successors, assigns, race

ponsors for any and all injuries, death and invalidity I may sustain before, during or after the process of the event or arising as a

esult of it. I hereby indemnify the Organiser and keep them indemnified and abandon against all claims or damages that arise in

onsequence of the above._________________________________________________________________________________________________________________________________________________________________________________________________

PARENT CONSENT FORM (for participant who under 16 ages)

(Name of Parent/ Guardian)______________________________hereby permit (Name of Participant)___________

______________________, (I.C Number)___________________to take part in event of above at his/her own risk.

ignature:.................................... Date:..........................................._________________________________________________________________________________________________________________________________________________________________________________________________

SIGNATURE :

NAME :

I/C NO.

PASSPORT NO. :

erm and condition

1) All players should obey all the instruction given by Program Developer (PD) / Organizer.2) Players must follow the steps to complete the mission given.3) All players are required to register themselves at the starting, players are also encourage to pass their belonging to PD to avoid any problem

happen when game are in progress.

4) Strongly warnings to all players of do not fight or show any unmoral behaviour in the progress.5) Do not cross over the way or road block by PD.6) Do not take away any belonging from the private sector and always take care the cleanness of private sector.7) Players who has disqualify in the game will automatically bring to a secret room, and disqualify players are not allow to share the information

he/ she know to their team member.

8) Players who has disqualify will be notice via broadcast and the players must go to the secret room, go back to the starting point or bring backby organizer.

9) Players are also required to take care of their safety every time and players who break the rule will be disqualifying immediately.

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