VA NIGHT RUN registration

Registration for Imagine Fit Fest VA Night Run at KB Town, Belait. 5.12.2026

Each participant per form.
Name

First NameLast Name
Email
example@example.com
Retype your Email
Phone Number
Gender
IC / Passport Number
Citizen
Date of birth

DayMonthYear
2 digit day, 2 digit month, 4 digit year
Blood Type
Medical Condition
Address

Address

Street Address Line 2

CityState

Zip CodeCountry
Emergency Contact Name
Emergency Phone Number
Category
PARENTAL CONSENT FORM (For Participant aged below 18)

If you are aged below 18, please ask your Parent/ Guardian to fill in this consent form.
I, First Name* Last Name* .the parent or guardian of the above Participant, hereby agrees the Participant to enter into the Race. You may contact me at Phone Number* regarding the Participant and the Race when necessary.
5km is open to everyone.

Entitlement:
- Exclusive Mesh Bag
- Event Shirt
- Blinker Lights
- Race Bib Number without timing chip
- FInisher Glow In The Dark Medal
10km

Entitlement:
- Exclusive Mesh Bag
- Event Shirt
- Finisher Shirt
- Blinker Lights
- Race Bib Number without timing chip
- FInisher Glow In The Dark Medal
15km Competitive

Entitlement:
- Exclusive Mesh Bag
- Event Shirt
- Finisher Shirt
- Blinker Lights
- Race Bib Number with timing chip
- FInisher Glow In The Dark Medal
Event Shirt (sublimation) Size
VA Dri-FIT Sublimation is less stretchable, prefer to get 1 size bigger than our normal shirt.
Event Shirt Sleeve Request
Custom Initial Name (Event Shirt) Add on $6
(Event Shirt) All initials will be on the Left shoulder.
Finisher Shirt (sublimation) Size
VA Dri-FIT Sublimation is less stretchable, prefer to get 1 size bigger than our normal shirt.
Finisher Shirt Sleeve Request
Custom Initial Name (Finisher Shirt) Add on $6
(Finisher Shirt) All initials will be on the Left shoulder.
Total payment (BND)
Kindly confirm the total amount is correct before you proceed to payment.
Would you interested to join Full Marathon in 2027?
Payment Method
Bank Direct Transfer

Please make your payment to;

Bibd 00015010025045

Baiduri 0900110521409

then upload the copy of your payment.
Card payment at VA STORE (Peak Club)

Please make your payment first at Peak Club counter then upload payment receipt.
Card payment at VA HUB (Peak HUB)

Please make your payment first at Peak Hub counter then upload payment receipt.
Click Register Now and you will be redirect to payment link by Pocket. If we don't receive your payment, your submission will be auto cancel.
Copy of payment

Cancelof
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Registration for Imagine Fit Fest VA Night Run at KB Town, Belait. 5.12.2026

Click Register Now and you will be redirect to payment link by Pocket. If we don't receive your payment, your submission will be auto cancel.