Registration Form

Registration Form

Registration Form
RACE DATE: April 28 - May 2, 2012
Before completing this form, we would like you to confirm that you have read these information.	I acknowledge that I have read: 1. Mandatory Kit List 2. Event Info 3. Itinerary Please click on listed items to read.

PERSONAL DETAILS
First Name:
Family Name:
Date of Birth:	e.g. 22/06/1982
Sex:
Nationality:
MyKad/Passport Number:
Mobile Number:
Email Address:
Race Vest Size:
Mailing Address:

MEDICAL PARTICULARS
Blood Type:
Medical information Organizers need to be aware of:
Are you allergic to any medicines:
Specific Requests:

EMERGENCY CONTACT
Emergency Contact Person:
Mobile Number:
Secondary Number:
Email Address:
Relationship:

Previous ultra marathons/ marathons/ half marathons completed:	1. 2. 3. 4. 5.

	By officially registering, I agree to abide by the rules and regulations set forth by the organizers of the Special Forces 200k and acknowledge that any violations may result in penalties, disqualification or removal from the race. I agree also to abide by the spirit of the race and will at all times respect the final decision of the race director's and assist any individuals in distress ahead of personal gain should the need arise.

	This registration is only complete with FULL PAYMENT of registration/entry fee. Click here to pay Online now (Non-Malaysians) / Inter-bank transfer (for Malaysians)




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