Bohol 50-50 Sundown Ultra Marathon

Fields marked with (*) are required entries.
April 27, 2013 ~ gunstart: 50miles 3pm ~ 50K 9pm

Cut off ~ April 28, 2013 @ 6am {both categories}
Date of Registration*

MonthDayYearHourMinutesAM/PM Option
Race Bib No. (To be filled up by organizer)
I am running for*
Full Name*

First NameLast Name
Gender*
Birth Date*

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
My contact no.*
(Area code) mobile/landline
In case of emergency, please notify*
Contact person
In case of emergency, please contact*
(Area code) mobile/landline
E-mail*
I represent*
Club/Affiliation/Team
Shirt Size*
Support vehicle*
Registration fee * BPI Bank Capitol Branch Cebu or any BPI Branch

Acct. Name: BRANDON F. BON * Savings Acct. No. 9069101744
Payment may also be sent through Palawan Pawnshop, Mhullier Pera Padala or Western Union

Please scan receipt and message 09228061380 for the tracking number
I deposited*
Date and Time deposited

MonthDayYearHourMinutesAM/PM Option
BPI Branch, Palawan Pawnshop, Mhullier Pera Padala, Western Union*
BPI branch or establishment where payment was deposited
Upload scanned copy of deposit slip*

Upload a File
Upload a clear scanned copy of the deposit slip (jpg, jpeg, gif, png) Cancelof
Accident Waiver and Release of Liability

Download, read, understand, sign and present this document during the race kit distribution. Link: http://www.4shared.com/office/JCTHVqmC/WAIVER_ultra_marathon.html
Should be Empty:

April 27, 2013 ~ gunstart: 50miles 3pm ~ 50K 9pm