28 July 2013. 4 oclock p.m.

CDC Parade Grounds

OFFICIAL REGISTRATION FORM

Last name: _________________________________ First name: _________________________________ Address: ___________________________________ __________________________________________ Date of Birth: ___/___/____Gender: Female Male For Organizers Use Only REGISTRATION NO.:_________________________ Submission Date:____________________________ Amount Paid: Php ___________________________ Authorized Representative: ___________________ Singlet size: XS S M L XL XXL

Organization: ________________________________ Email address: _______________________________ Contact No.: ________________________________

Distance:
(please tick the appropriate box and pay the corresponding registration fee)

2.5km (Php300.00)

5km (Php400.00) WAIVER

10km (Php500.00)

I acknowledge that my participation in the LEX RUN 2013 is voluntary and is done at my own risk. In consideration of your acceptance of my entry, I the undersigned, intending to be legally bound hereby for myself, my heirs, executors, administrator and assigns, waive and release any and all rights and claims for dp.m.ages I may have against the event organizers and any other sponsor of the race for any and all injuries suffered by me in this race. I attest that I p.m. physically fit and sufficiently trained for the competition of the race. I understand and agree that medical or other services rendered to me by or at the instance of any of the event organizers and sponsors is not an admission of liability to provide or continue to provide any such services and is not a waiver by any said parties of any right hereunder. Further, I agree that I p.m. not entitled the return of my entry fee in the event of race cancellation due to unforeseeable acts of God or fortuitous events.

_____________________________________ Signature over printed name of Participant

_____________________________________ Signature of Parent/Guardian (for minor participants)

--------------------------------------------------------------------------------------------------REGISTRATION FORM NO.: ______

PARTICIPANTS COPY

28 July 2013. 4 oclock p.m. CDC Parade Grounds

REGISTRATION NO. ________________ Singlet Size:___________ Submission date: _______________

Name of Participant: ________________________________________________________________________ Event: 2.5km (Php300.00) 5km (Php 400.00) 10km(Php 500.00)
st nd

Authorized Representative: _____________________________________

you SLIP should re-hydrate as needed. Water stations ON will RACE be made available along the route. , 2.5K , 5K PACKET. PLEASE PRESENT y THIS TO THE REGISTRATION COMMITTEE DAY OR STARTING JULY 18,(1 2013 TOU-turn, CLAIM 2 RACE

FOR INQUIRIES, CALL: 0932 476 7979 / 0917 473 2288 OR VISIT: www.facebook.com/lexrun2013

28 July 2013. 4 oclock p.m. CDC Parade Grounds

REMINDERS FOR REGISTRATION

FIRST 150 PEOPLE TO REGISTER* WILL GET A FREE LEX RUN 2013 LANYARD
*Must have completed registration by submitting the form and paying the corresponding registration fee. REGISTRATION SITES: AUF SCHOOL OF LAW OFFICE Rm 213, Professional Schools Building MCARTHUR HIGHWAY, ANGELES CITY MON - FRI: 1:00 PM - 5:00 PM SAT: 10:00 AM - 12:00 PM 0932 476 7979/ 0917 473 2288 WORLD ENGLISH REVIEWS OFFICES DAU BRANCH: Rm 505, Angelique Square Building, MCARTHUR HIGHWAY, DAU, MABALACAT CITY (across Puregold Dau) MON - SUN: 9:00 AM - 5:00 PM 0906 235 1660 SAN FERNANDO BRANCH: 3rd floor, L.C. Building, JOSE ABAD SANTOS AVENUE, CITY OF SAN FERNANDO, PAMPANGA (between McDonalds and Master Sisig) MON - SUN: 9:00 AM - 5:00 PM 0906 235 1660 KUMON* UNIT 5&6, STO.ROSARIO COR. CATHERINE STS., ANGELES CITY MON - FRI: 9:00 AM - 4:00 PM 0917 473 2288 BURGER SHACK* 234 SAMPAGUITA STREET NEPO SUBDIVISION ANGELES CITY TUE - THU: 4:00 PM - 11:00 PM FRI - SUN: 4:00 PM - 12:00 AM 0906 462 0167 * Note: Pick-up points for Registrations Forms only. Forms must be submitted to and payments given to the AUF SOL OFFICE.

REMINDERS FOR ONLINE REGISTRATION 1. Submit registration form to the AUF School of Law Office (Rm 213, Professional Schools Building, MCARTHUR HIGHWAY, ANGELES CITY. Contact number: (0932 476 7979/ 0917 473 2288) 2. Pay the corresponding registration fee. 3. Claim your race packets on race day or starting July 18, 2013 at the AUF SOL Office. 4. Participants slip must be presented when claiming the race packet.