Bicycle Wars Waiver Form by WT9OlU41

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									                                                November 18, 2012 Sunday
                                  Filinvest Corporate City, Alabang, Muntinlupa City


                                             EVENT WAIVER FORM
FIRST NAME: __________________________________ LAST NAME: ___________________________________
ADDRESS: ___________________________________________________________________________________
AGE: ______ SEX: ______ PHONE: _______________________ MOBILE NO.: ____________________________
EMAIL ADDRESS: ___________________________________________ BIRTHDAY: ________________________
Jersey: ___ YES ___ NO                     If yes, check Jersey size: ____ Small ____ Medium ____ Large ____ XLarge
Race Type: ___ Criterium ___ MTB           Race Number (to be filled in by Earth Fest Staff): _____________________
Category:         ___ Kids
                  ___ Male (20 yrs below)
                  ___ Male (21 – 30 yrs)
                  ___ Male (31 – 40 yrs)
                  ___ Male (41 – 50 yrs)
                  ___ Masters (51 yrs up)
                  ___ Female (open)
In case of emergency, please contact:
Contact Name: ________________________________ Emergency Contact No.: ___________________
WAIVER: I know that running a road race is a potentially hazardous activity. I should not enter unless I am
medically able and properly trained. I assume all risks associated with running during this event. Having read this
waiver and knowing these facts and in consideration of your accepting my entry fee, I, for myself, and anyone
entitled to act on my behalf, waive and release the City of Muntinlupa, Filinvest Corporate City, Sonshine Media
Network International, Sonshine Philippines Movement, and all sponsors, their representatives and successors,
for all claims or liabilities of any kind arising out of my participation in this event.


________________________________________
Participant’s Printed Name & Signature                                          CATEGORIES                    FEE

                                                                                    Kids                 Php 250.00
                                                                                    Other Categories     Php 300.00
________________________________________
                                                                                Add Php 250 to avail of the Earth Fest
Parent’s Printed Name & Signature                                               2012 Jersey.
(required for participants under 18 years of age)


For questions and inquiries:
Email: info@earthfestphilippines.com | Mobile Phone: 0915-508-2313 | Landline: (02) 504-4817
Fax: (02) 453-0589 | Website: www.earthfestphilippines.com
The Bicycle Wars Mechanics can be downloaded at: www.earthfestphilippines.com/join-the-events

								
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