Rider Info

Team Name  :  *No apostrophe¬† ( ' ) allowed
Full Name  :  *No apostrophe¬† ( ' ) allowed
NRIC / Passport  :  *No dash (-) and space
Team Leader Email Address  : 
Team Leader Mobile No  :  *Emergency Purpose
Event Info
Category  : 

21KM Virtual Run Within 1 Month (September)

Package  : 

Package A (Medal and Cert) - RM25 (group)

Package B (Tshirt, Medal and Cert) - RM35 (group)

Tshirt Size - For Package B only
 :  (View Size Chart)
Collection Method  : 

Self Collect at IIUM Gombak / Kuantan - FOC

By Courier - additional RM7 (peninsular) / RM10 (Sabah & Sarawak) per entry

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.