Organised by:

Maltese Olympic Committee

National Swimming Pool Complex
Maria Teresa Spinelli Str,
Gzira GZR 06
21st June 2009 - BUGIBBA
Olympic Day 2009: Move, Learn and Discover
Application Form

10K 5K 2.5K
Mark Appropriately

Name/Surname:

Address:

Telephone No: Mob. No

Email address:

Date of Birth:

School / Club /
Other (where
applicable)
Data Protection: I would like to receive from the MOC/McDonalds-Malta,
information about future activities through Email/Post. I
accept that my personal data will be included in the MOC’s
and McDonald’s database and that this will not be
disclosed to third parties.

I accept I do not accept

Supported by the Malta Amatuer Athletics Association