Event Registration

WARRIOR HILLY HALF MARATHON

8 JAN 17 - RACE REGISTRATION FORM
Full Name*

First NameLast Name
E-mail*
Phone Number*

Phone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Date of birth*

DayMonthYear
I agree to abide by the event rule, which are that any form of cheating will lead to my expulsion from the race without refund.*

Agree
I agree that I will not drop any litter of any kind during the race. (rubbish sacks will be available at water stations and at the finish).*

Agree
Do you suffer from any medical issues which would affect your ability to complete this race?*

YesNo
If yes, briefly explain.
Name of emergency contact*
Phone number of emergency contact*
Category*

Male Open (16-40)Female Open (16-40)Male Veteran (41-99)Female Veteran (41-99)
T-Shirt Size*

XSSMLXLXXL
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PAYMENT DETAILS

Early Bird (1st 75 entries) RM 85
Normal entry RM 100

You will be notified of your race fee and payment method by email, upon receipt of this registration form.
The usual small print:

The organisors can take no responsibility for personal loss, damage to property, or injury. There will be qualified First Aid personnel present on the course, but runners' personal insurance will be necessary in case of ambulance recovery. All parts of the course are accessible to ambulances.

By submitting this race registration, I agree to the above terms and conditions.
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WARRIOR HILLY HALF MARATHON