lex run registration form

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  • 7/27/2019 Lex Run Registration Form

    1/2

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

    OFFICIAL REGISTRATION FORM

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

    2.5km (Php300.00) 5km (Php400.00) 10km (Php500.00)

    ---------------------------------------------------------------------------------------------------

    REGISTRATION FORM NO.: ______

    PARTICIPANTS COPY

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

    y you should re-hydrate as needed. Water stations will be made available along the route. (1st

    , 2.5K U-turn, 2nd

    , 5K

    For Organizers Use Only

    REGISTRATION NO.:_________________________

    Submission Date:____________________________

    Amount Paid: Php ___________________________

    Authorized Representative: ___________________

    Singlet size:

    XS S M L XL XXL

    W A I V E RI 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 againstthe event organizers and any other sponsor of the race for any and all injuries suffered by me in this race. I attest that Ip.m. physically fit and sufficiently trained for the competition of the race. I understand and agree that medical or otherservices rendered to me by or at the instance of any of the event organizers and sponsors is not an admission of liability toprovide or continue to provide any such services and is not a waiver by any said parties of any right hereunder. Further, Iagree that I p.m. not entitled the return of my entry fee in the event of race cancellation due to unforeseeable acts of Godor fortuitous events.

    _____________________________________ _____________________________________Signature over printed name of Participant Signature of Parent/Guardian (for minor participants)

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

    Name of Participant: ________________________________________________________________________

    Event: 2.5km (Php300.00) 5km (Php 400.00) 10km(Php 500.00)

    Authorized Representative: _____________________________________

    PLEASE PRESENT THIS SLIP TO THE REGISTRATION COMMITTEE ON RACE DAY OR STARTING JULY 18, 2013 TO CLAIM RACE PACKET.

    FOR INQUIRIES, CALL: 0932 476 7979 / 0917 473 2288

    OR VISIT: www.facebook.com/lexrun2013

    Last name: _________________________________

    First name: _________________________________

    Address: ___________________________________

    __________________________________________

    Date of Birth: ___/___/____Gender: Female Male

    Organization: ________________________________

    Email address: _______________________________

    Contact No.: ________________________________

  • 7/27/2019 Lex Run Registration Form

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

    REMINDERS FOR REGISTRATION

    FIRST 150 PEOPLE TOREGISTER* 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 OFFICERm 213, Professional Schools BuildingMCARTHUR HIGHWAY, ANGELES CITYMON - FRI: 1:00 PM - 5:00 PMSAT: 10:00 AM - 12:00 PM0932 476 7979/ 0917 473 2288

    WORLD ENGLISH REVIEWS OFFICESDAU BRANCH: Rm 505, Angelique Square Building,MCARTHUR HIGHWAY, DAU, MABALACAT CITY(across Puregold Dau)MON - SUN: 9:00 AM - 5:00 PM0906 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 PM0906 235 1660

    KUMON*UNIT 5&6, STO.ROSARIO COR. CATHERINE STS.,

    ANGELES CITYMON - FRI: 9:00 AM - 4:00 PM0917 473 2288

    BURGER SHACK*234 SAMPAGUITA STREET NEPO SUBDIVISION

    ANGELES CITYTUE - THU: 4:00 PM - 11:00 PMFRI - SUN: 4:00 PM - 12:00 AM0906 462 0167

    * Note: Pick-up points for Registrations Forms only. Forms must be submitted to andpayments 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.