Mad Wave Challenge Boracay Island Registration Form
Personal Information
Full Name
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First Name
Last Name
Birthday
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Month
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Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Gender
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E-mail
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Address
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Street Address
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Mad Wave Challenge Race
Choose one (1) challenge only
MADWAVE CHALLENGE
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Please Select
EXPLORER 1KM
ADVENTURER 2KM
CHALLENGER 3KM
LEGEND 5KM
EXPLORER 1KM
INSPIRATIONAL "Person with special needs"
KIDS UNDER 9 (7-8)
KIDS UNDER 11 ( 9-10)
KIDS UUNDER 13 (11-12)
JUNIOR UNDER 15 (13-14)
JUNIOR UNDER 20 (15-19)
MASTER 20-25
MASTER 26-30
MASTER 31-35
MASTER 36-40
MASTER 41-45
MASTER 46-50
MASTER 51-55
MASTER 56-60
MASTER 60 & OVER
ADVENTURER 2KM
KIDS UUNDER 13 (11-12)
JUNIOR UNDER 15 (13-14)
JUNIOR UNDER 20 (15-19)
MASTER 20-25
MASTER 26-30
MASTER 31-35
MASTER 36-40
MASTER 41-45
MASTER 46-50
MASTER 51-55
MASTER 56-60
MASTER 60 & OVER
CHALLENGER 3KM
JUNIOR UNDER 15 (13-14)
JUNIOR UNDER 20 (15-19)
MASTER 20-25
MASTER 26-30
MASTER 31-35
MASTER 36-40
MASTER 41-45
MASTER 46-50
MASTER 51-55
MASTER 56-60
MASTER 60 & OVER
LEGEND 5KM
JUNIOR UNDER 15 (13-14)
JUNIOR UNDER 20 (15-19)
MASTER 20-25
MASTER 26-30
MASTER 31-35
MASTER 36-40
MASTER 41-45
MASTER 46-50
MASTER 51-55
MASTER 56-60
MASTER 60 & OVER
X RELAY 3x500m
For registration of the 3x500m relay, please email madwave.phils@gmail.com
T-Shirt Size
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X-Large
XX-Large
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In case of emergency
Contact Person
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Contact Number
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WAIVER AND RELEASE FORM
DECLARATION AND WAIVER
I hereby certify that the information above is true and correct. I agree to abide by the event rules and regulations. I understand that participation in this event is at my own risk, and I release the organizers, sponsors, and officials from any liability arising from injury, illness, or accident during or as a result of the event.
Waiver Agreement
*
Yes I agree
MEDICAL WAIVER & LIABILITY RELEASE FORM
I acknowledge that participating in the Mad Wave Challenge involves physical exertion and potential risks, including but not limited to: fatigue, dehydration, weather conditions, water currents, and collisions. I confirm that: I am in good health and have passed a recent medical examination.I voluntarily participate at my own risk.I have disclosed any relevant medical conditions to the event organizer.I understand and accept all risks associated with open water swimming. I hereby release and discharge the organizers from any and all liabilities, claims, or causes of action arising out of any injury, illness, loss, or damage that may result from my participation. I agree to follow all race rules and instructions from the event staff, and understand that non-compliance may result in disqualification or removal from the course for my own safety.
Waiver Acknowledgement
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Yes I acknowledge
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Registration Payment
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