8/8/2019 Steps of Hope Application Form

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[Steps Of Hope] -7KM Charity RunFull Name Date : 21.11.2010 (Sunday) Collection of Number Tags & T- Shirt

Venue : AMBANG BOTANIC

Starting time : 7.30 a.m (Reporting at 6.30a.m - 7.00a.m) Date : 18th & 19th November 2010

Entry Fees : RM 25 ( FREE T-SHIRT) Time : 10.00 am - 6.00 pm

IC / Passport No. Sex Closing Date : 07.11.2010 or first 1200 participants Venue : Kolej ALC

M F

Attires : T-Shirt by Organizer Registration/ Contacts

Age E-Mail Kevan 010- 212 1874

Prizes & Medals Joey 010 - 212 2352

1. All participants will receive T-Shirt and number tags. Participants are Richie 016 - 248 2352

Mailing Address required to produce the official collection card during collection day. Michelle 016 - 367 0212

2. Top 3 finishers (Category A, B, C, D, E, F) will receive cash vouchers.

Champion RM 300 Payment

1st runner up RM 200 Payment by cash (at ALC's Reception)

Tel Date of Birth 2nd runner up RM 100 OR

Bank-in No.: 0049200368307(EON Bank)

3. All Top 3 finishers (Category A, B, C, D, E, F) will receive a trophy.

Category Participation Mail or Hand-in Entries to:

Category Tick 4. Runners who complete the run (Category A, B, C, D, E, F) will receive ALC College

A STUDENT (MALE) (AGE 10 - 18) an amount of limited pewter medals. No.6, Jalan Kapar, 41400 Klang, Selangor.

B STUDENT (FEMALE) (AGE 10 -18) Category A : 50 Fax No.: 03-3344 5861

C MEN OPEN (AGE 18 - 35) Category B : 50

D MEN VETERAN (AGE 36 AND ABOVE) Category C : 30 stepsofhope2010@hotmail.com

E WOMEN OPEN (AGE 18 - 35) Category D : 20F WOMEN VETERAN (AGE 36 AND ABOVE) Category E : 30

Category F : 20

Size of T-shirt

XS S M L XL XXL 5. All runners who completed the run will receive certificates of achievement

Drinks & Refreshment

Donation For Office Use * Drinks and light refreshment will be served to all runners from

RM: ______ Receipt No. : _____________ 8.00 am to 10.00 am

Receipt Date: _____________

* There will be 1 water station at km 3

Waiver Clause

Route Map

I, the participant hereby agree to abide t he rules and conditions of the race.

I certify that all of the above particulars are correct. I am entering the

competition at my own risk and shall not hold the organizer responsiblefor any accident, injury, death, loss o f property cause before, during

and after the race.

Authorisation by parents/guardian of participants between 10 to 18

years old. I ... Parent/guradian

of the above named authorise his/her participant in the run.

Signature IC/Passport No Date Downloaded from

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