Discover Pasuquin Registration Form
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (09) 000000000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Birthdate
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Age
*
Gender
*
Male
Female
Emergency Contact Name
*
Emergency Contact Number
*
Please enter a valid phone number.
Format: (09) 000000000.
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Next
Payment Method
Select your category
*
Please Select
5K - ₱999
10K - ₱1550
21K - ₱1699
Total Amount
The final amount you need to pay after the applicable discount.
Select your mode of Payment
*
Please Select
GCash
Reference #
*
Upload Proof of Payment
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
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Next
Singlet & Finisher Shirts
Select your Size
*
Please Select
XSMALL
SMALL
MEDIUM
LARGE
XLARGE
2XLARGE
3XLARGE
4XLARGE
5XLARGE
Run Club
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Event Disclaimer
Registration Policy
*
Shirt/Singlet
*
Health and Safety
*
Data Privacy
*
Photo and Media Consent
Third-Party Information Declaration
*
Marketing & Promotional Communications Consent
Submit
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