>=, Fuelling Fitness Registration Form TEAM NAME: TEAM CAPTAIN TEAM MEMBERS ‘Sumame, First Name Age Contact No. Email Address Occupation/ Company/School Shirt Size Allergies/Physical Conditions (ifany) Person to contact in case of emergency Contact No. Which sports do you engage in? (Check allthat apply.) es) race mechanics he team team must const of & members, with one “Team Captain. The egitation ee P50 per head ttl of F2000%eam), neve of an ATT IT sie and 2 ster party dinner All members must subi photocopy of ‘hei ald phot ID for vert. Mae of payment for regsvtion could bettroughanyofthefolowing: ¥BankDepasit 300 acount Name: ca Lap ShNumber 0133436769 To confi payment, text the wansacton ‘umber on depos sip along with the date and time to (0915464397 er malo gnionegegmalican, ¥Geash(onty for Onn Registration) ranged Meetups) **Regisratin fee must be pad for bee the race entation disqualification ‘Surmame, First Name PtSi Pte) the r2ce AETUTIONT 's peeves. ter te show “mating ace” but gered owt physical nest andthe promotion ofa heat teste At every pitstop, each eam Wil be completing physical demanding calnges that ‘ould tet thei andendurence. the stops htop cond ofa challenge that ech eam ‘must complete, ives andar wilbe gen Fespeatve event marshals at hestar of theace and at the dof ever sucess chaenge. Te tear mustbe Complete upon atl at every pi stop before they valle ‘amd the scons, ‘the challenges competed challenge allows te team to tnove on fom one stop to the next Unset Cempleton of 2 challenge wil delay the teams sdvancement to the next pi stop time detained wil be Spaced in each challenge del Calenges may requite ther the whole tam or a facon of the team to aricpate, depending onthe structions Incase asquafiation may bemposed upon es due to, bls ot miedo, thefotoning Any mistepresetation in the registration documents Commision of taf vation, outright vation of event ules and forany at commited against pple ws “Will destruction or mutation f any property vod or late in ary waytotterace terms and agreement safety ‘Surname, First Name ‘Surname, First Name Os Om Ol Ox. Os Om OL Ox Os OM cL Ox Os Om ot ox Peseta ‘photo sprinting Some pt tops wil equi the tam to {ake pres whl dong tease Thee shoul only Beane ‘eignted. photographer per team the tet of the tees aces shoul be seni ath ture take Each team weuldhavetotring ther onn came. ‘modes of ransportation The teams ae allowed 0 we “iymode of tansporaton ‘ie prize Each eam mst complet every challenge i al it stops to quay forthe grand prize The wining team ‘val beavarded 150000, Spedal ries wil be given nay. General ace ules wil be dscase inthe Rae sentation. Waive Forms are tobe signed by team members ater the ‘entation, tends compuloy esvation Ens September 2011 Face Oretation September — 2071 Race Date September 24,2017 ‘San 7 Pt The pricpat shal beheld response fr the aw safety ding the race The event orpanizes shal not be hel able for any damage or Inury that may arse due to carlesness and negligence of the arpans tay time duing thera, Completion ndsubmision ofthe Registration Form sg thatall tam members: |. agiee to and abi by al he rules specie in the race, _ allow fst id etmentby the event organizers incase fay roche and cst during the orientation ‘emergency andra TL have understood the nature of, and. assume all sks ‘recognize that event organizes hae the al econ making 2ssecited with thet voluntary paripaton intisevent ‘rerogtve nay stanton tat may ase during the event 1. atest to beng physically and metal ft to paricipte in. ——vL_—_—enerise honesty, prudence and demonstatesprtsanike theevent enduct inthe couse of tht partion contact us For further questionsand concerns, email sat igntonRegBgmallcom.