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De La Salle Alumni Association (Pampanga Chapter) AN ALUMNI ASSOCIATION OF THE 16 DISTRICT SCHOOLS OF DE LA SALLE PHILIPPINES GREEN Commitment for the GREEN Cause! OFFICIAL ENTRY FORM MANUAL ENTRY FORM NO:________________________ DISTANCE ADULT <700m-30K-5K> (PhP1700) ______ Juniors and Kids distances (PhP1200) 16-17 yrs old 300m swim -10k bike -3k run___ 13-15 yrs old 200m swim -10k bike -2k run___ 10-12 yrs old 200m swim -6k bike -2k run ___ 6-9 yrs old 100m swim -3k bike -1k run ___ RELAY: (PhP3500) 2-3 entries ____________ Relay Team name:__________________________ I, the undersigned, am joining the fun run on my own free will and hereby waive any liability on the part of the event organizers should harm befall me during this run. I fully understand the circumstances of this fun run and declare that I am able and physically it to compete in this race safely. I agree that in the event of race cancellation due to unforeseeable acts of God or fortuitous events, my entry shall be non-‐refundable and non-‐transferrable. In case the organizers shall decide, because of the abovementioned reasons to postpone the race, the entries shall still be viable. The same rules will apply should I fail to participate in said event. I have read and understood the rules and regulations and do hereby abide thereto. Last Name:_______________________________________________________ Participant First Name:______________________________________________________ (Signature over printed name) Address:_________________________________________________________ 10K_______________________ (PhP300) ___________________________________________________________________ ___________________________________________________________________ Birthday:______________________ Gender: M___ F____ Age:_______ Occupation:________________________________________ FOR ORGANIZERS ONLY: Landline/MobileNo:___________________________________________ Submission Date:_________________________________ Email Add:______________________________________________________ Amount Paid: PhP________________________________ Size: (encircle) XS (Kids) S M L XL XXL Authorized Rep/Signature >>>>>>>>>-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐^DLSAA COPY^-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐-‐à De La Salle Alumni Association (Pampanga Chapter) AN ALUMNI ASSOCIATION OF THE 16 DISTRICT SCHOOLS OF DE LA SALLE PHILIPPINES The 1st CLARK ANIMO SPRINT TRIATHLON ENTRY FORM NO:_________ Name:_____________________________________ Submission Date:__________________ Event:_____ ADULT IND(PhP1700) ______ KIDS/JUNIORS (PhP1200)_____ RELAY (P3500) Amount Paid:PhP______________ Authorized Rep/Signature:________________________ PLEASE PRESENT THIS SLIP TO REGISTRATION COMMITTEE ON RACE DATE TO CLAIM YOUR RACE KIT. EMAIL ACCOMPLISHED FORM TO: [email protected]
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