Durian Run Registration Form

 

**Register for RUN FOR GOOD DURIAN 5KM RUN! Race Fee $15 per pax(Open to all 7 years old and above, participants under 18 years old will need parental consent to participate in this run)

 
IMPORTANT:Confirmation of Race Participation will only be made upon receipt of payment via BANK TRANSFER.
 
By submitting this form, you hereby agree that the Organisers (People’s Association, CS CDC and Ang Mo Kio-HougangCCC) may collect, obtain, store and process your personal data that you provide in the form for the purpose of receiving updates, news, promotional and marketing mails or materials from the Organisers.

 

Residency Status :

NRIC / Passport No. / FIN :

Date of Birth :

Gender :

 

 

Personal Details:

First Name :
Last Name / Surname :
Blood Group :

 

 

Email :

Mobile Number :

 

 

Allergies (if any) :

Medical Condition (if any) :

 

 

Entitlements:

*Choose only one

Refer to sizing http://runpilgrim.com/durianrun/shirt-size-durian-run-for-good/

 

Event T-shirt Size (adult) :

Kids Size :

 

 

Address:

Block / House number : Street Name : Building Name :

Unit number :

Postal code :

 

 

Next of Kin (In case of emergency):

Name :

Relationship :

Mobile Number :

 

 

Indemnity
To be completed by parent/guardian for participants under 18 years of age:

Parent/Guardian Name:

Parent/Guardian NRIC/FIN/Passport:

Relationship:

Parent/Guardian Contact Number:

I have read the Terms and Conditions and consent to my child/ward participating in the Run For Good Durian Run 5km. I shall not hold the Organisers, sponsors or officials of the event liable for any injury, death, cost, expense, claims or loss/damage to property of whatsoever nature arising out of his/her participation in the event.

 

 

Who will be making the payment?

Others:
Name

Mobile No

 

 

How did you hear about us?

 

 

Total Responsibility For Yourself

I/We hereby agree not to hold the organizer and co-organizers, their representatives and sponsors against all cost, expense or liability that may arise in consequence of my participation in the event, I hereby waive all claims for any and all injuries, death and invalidity to me or the person under my care which may be caused by any act, or failure to act by the organizer, members and employees arising directly or indirectly during the course of event or arising as a result of it. In consideration of the organizer accepting this entry, I hereby assume liability for any loss, damage or liability from the above event. I confirm that I have read and accepted the conditions of entry to event and the rules and regulations for this event. *
Terms and Conditions link

* Required

 
 

 
 

IMPORTANT Friendly Reminder: Confirmation of Race Participation will only be made upon receipt of payment via BANK TRANSFER.