EmailMe Form - Run To Gain

Name *

Age *

Phone number *

Address

Email *

further notice will be announce via email

Race Category

Men Open

Women Open

Job

Just put symbol " - " if you are not working

School/University

Preferable T-Shirt Size

S

M

L

XL

Payment / Donations

Can be deposit to our CIMB account 03080005940204

Payment Transaction

Please upload a copy of the deposit receipt. Ignore if you pay cash.

Amount of donation

If you pay extra (more than the actual fee) for donation purpose, do state the amount.

Emergency Contact Person

Name

Phone

Relationship

Questionnaires

Evaluate the following statements.

	Strongly Disagree	Disagree	Agree	Strongly Agree
I'm joining this event because i love to run.	1	2	3	4
I'm joining this event because it is a charity event.	1	2	3	4
I'm joining this event because it is held by UKM student.	1	2	3	4

Runners Safety

The Organizer and its agents shall not be liable for any injuries whatsoever, resulting from the event, whether fatal or otherwise, of any participants or for damages to or loss of such person’s property.

Waiver Clause

Organizers are not liable for any cancellation of the event due to acts of unforeseeable circumstances i.e acts of god, riots, demonstrations, government action, etc. If these situations do occur, we regret that we will be unable to make any refunds, pay you compensation or meet any costs or expenses you may incur as a result.