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5k Fun Run Registration Form

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5k Fun Run Registration Form Powered By Docstoc
					                                                                      Registration Form
                                                              20011 RUN FOR THE WALK
                                                              Race Bib No: ______________

General Guidelines:                                                                         Registration Guidelines:

On the event and registration:                                                              For UP Law Students:

      a.    The Run for the Walk will take place on September 9, 2011 around                       a.    Submit filled-out Registration Form at the Law Student
            the Academic Oval up to and around the Police Checkpoint to                                  Government (LSG) Room, Malcolm Hall on or before 5:00PM
            make the route 3k. Run will commence at 7:00AM in front of                                   on September 8, 2011.
            Malcolm Hall, UP Diliman.
      b.    Pre-registration starts 9:00AM on September 7 and ends on
            September 8, 2011, 5:00PM.                                                      For UP Law Alumni/ Faculty/ Staff/ Non-UP Law Students:
      c.    All pre-registered participants must confirm their registration on
            September 9 starting at 5:30AM. Walk-in participants will be                           a.    E-mail filled-out Registration Form to
            entertained (for limited slots only) beginning 6:30AM only to                                upmalcolmcwp@gmail.com on or before 5:00PM on
            prioritize those who have pre-registered.                                                    September 8, 2011.
      d.    Pre-registered runners will receive their singlets after confirming
            their registration.                                                                    b.    Fax filled-out Registration Form to 521-3827 or 636-5829 on or
      e.    A baggage counter will be available during the event.                                        before 5:00PM on September 8, 2011.


On giveaways and raffle prizes:
                                                                                                  * Free registration and a limited edition singlet await the first 100
      a.    Only paying participants are entitled to winning raffle prizes and              student registrants.
            giveaways from partners and sponsors.
      b.    Runners will receive coupons upon confirmation of registration to                    * A limited edition singlet still awaits runners registering after the first
            claim giveaways available during the event.                                     100 for a minimal donation of Php500.00.
      c.    Race bibs will be used to claim raffle prizes for the raffle draw.


On Payments/ Donation:

      a.    Payments will be accepted from September 7- 8, 2011 upon
            submission of registration form at the Law Student Government
            (LSG) Room, Malcolm Hall; or,
      b.    During the actual event at designated area through an LSG
            Representative.



      **ALL PARTS OF THIS FORM MUST BE COMPLETED TO BE PROPERLY REGISTERED. Incomplete forms will not be accepted.

Registration Fee:      □ NONE             □ Php500.00                                                            Race Bib No: _______________
Singlet Size (Depends on availability): □ XS □ S □ M                            □L       □ XL        □XXL


Name: _______________________________ ________________________________ _______________________________
                (Last Name)                      (First Name)                   (Middle Name)

Address: _________________________________ ____________________________ _______________________________
                   (No. and Street).               (Town/ City)                    Province


              _________________________________ _____________
                         (Country)                ( Zip code)

Mobile number: ____________________________                                              Email address: ___________________________________

Waiver: In consideration of my entry being accepted, I waive any and all claims for myself, my administrators, and my heirs against all officials, sponsors, and organizations
           connected with the Run for the Walk Fun Run for injury or illness that may directly or indirectly result from my participation in this event. I attest that I have full
           knowledge of the risks involved in this event, and am physically fit and sufficiently trained to participate in this event.

                             ______________________________________                                     _________________________
                                       (Signature Over Printed Name)                                                  (Date)

				
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