Please Fill Up This Form

Runner Info
Full Name  :  *No apostrophe ( ' )
NRIC / Passport  :  *No dash (-) and space
Email Address  : 
Next of Kin Mobile No  :  *Emergency Purpose
Mobile No.  : 
Event Info
Category  : 

SCHOOL STUDENTS (16 - 17 y/o)

PUBLIC / OPEN (18 y/o and above)

Tshirt Size

I certify that I am physically fit, have sufficiently trained for participation in this event and have not been advised otherwise by a qualified medical person. In consideration of my application on this event, I hereby to waive, release and discharge from any and all liability to organiser for any incidents accrue to me. I understand that this event may be photographed and agreed to allow my photos to be used by event organisers for any legitimate purposes.