1ST PUGALO SUNDOWN RUN

Saturday December 3, 2011, 4:00 PM Pugalo Grounds, Barangay Pugalo, Alcoy, Cebu

OFFICIAL ENTRY FORM

REGISTRATION FEE: P 30.00 ONLY PLEASE MARK X in the box Category 3K Male Female (for 10-15 years old only) _____________________________________________________________________________________ Category 6K Elite (exclusive to Male only) Category 6K Male Female Beginners 36 years old & above

PARTICIPANTS INFORMATION Surname_____________________________ First Name____________________________ M.I._____ Sex________________________________ Birth Date ________________________ Age__________ Address ________________________________________________Nationality___________________ Contact Number_____________________ Group/Organization________________________________ WAIVER OF LIABILITY AND RACE AGREEMENT I acknowledge that my participation in PUGALO SUNDOWN RUN is voluntary, thus, I assume my own risk. I, the undersigned, intending to be legally bound for myself, my heirs, my executors, administrators and assigns, hereby release and waive any and all rights and/or claims for damages I may have against the event organizers which may arise from my participation. This is seasoned with my knowledge of my fitness and the possible risks of the race. I also give my permission for the free use of my name, photo, video and/or voice in any media aspect of the event. ____________________ ____________________ Participants Signature (Parent/Guardian must sign if under 18 years of age) Registration Form # _______________ ---------------------------------------------------------------cut here---------------------------------------------------------------RACE BIB CLAIM SLIP RUNNERS NAME_____________________________________________________________________ CATEGORY/DIVISION_______________________ GENDER__________RACE/BIB #________________

Contact Larry 09232280973 Ronel 09205775682 for further race details

RACE RULES AND REGULATIONS:

1. Registration period is from November 15-30, 2011. Registration fee for 3K and 6K category is 30.00 only.

2. Submit registration form with your registration fee to the Pugalo Sundown Run Organizers c/o Larry Cartalla or Ronel Debulosan. 3. All fees are non-refundable. 4. Bring claim slip in claiming your race number. 5. Event is rain or shine. 6. This race is open to all physically fit runners. 7. Participants may run, jog or walk but are requested to observe proper running etiquette. 8. Change of race category is not allowed. Race number is non-transferable. 9. Race number/bib must be securely pinned in front of the singlet/shirt at all times during the race 10. Unregistered pacers are not allowed during the race. 11. Cheaters will be automatically disqualified. 12. The organizers decision is final.