7/31/2019 2012 Blue Run Official Entry Form

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OFFICIAL ENTRY FORM (Fill up all the fields with ) RACE NO.

LAST NAME FIRST NAME M.I.

HOME ADDRESS CELLPHONE / HOME PHONE

(Please AGEcheck)

Grade and Section Student Family Member Faculty/Staff

WAIVER and QUIT CLAIM

I hereby state that : (1) I have secured a clearance from my physician that I am physically fit to participate in the BLUE RUN 4 GREENLIFE on SEPTEMBER 23, 2012 or on any day that said race maybe held; (2) I have sufficiently prepared for this event, and that I am fitto join the event. Being aware of the risk involved and in consideration of the acceptance of my entry and the foregoing premises. Ihereby forever discharge, release, waive and quit claim any and all causes of action, whether civil or criminal against race organizersand sponsors, from any injury, sickness, death, accidents and damages that I may suffer or sustain by reason therewith.

Signature of Participant ____________________________Signature of Parent/Guardian (if Participant is below 18 yrs. Old) ________________________________

Paid PhP200.00 on ____________

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RACE NO.

NAME OF RUNNER : _______________________________ GRADE & SECTION __________

DATE OF REGISTRATION : SEPTEMBER _________ , 2012

INSTRUCTIONS

Running Shirt

G.S. students will wear their P.E. shirts

Teachers and Family members will wearany Ateneo shirts.

Pre-race Check-in

Assemblytime is 5:00 a.m. at the InnerDriveway.

Race Number

Your race number is non-transferable.

Put it in front of your running shirt. YOURRACE NUMBER MUST BE CLEARLYVISIBLE AT ALL TIMES.

Loop Marker

Loop markers will be given to every runneraround the route. WITHOUT THE LOOPMARKER, A RUNNER WILL BEDISQUALIFIED AND WILL NOT BECONSIDERED AS HAVING FINISHEDTHE RACE.

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Water and Aid Stations

Water for drinking and / or dousing will beprovided at the Start/Finish area, at theH.S. Moro Lorenzo area & near Gate 3.

Medical assistance will be stationed at theStart/Finish area and 2 crucial points alongthe route. CONSULT OUR MEDICALTEAM ON ANY PROBLEM REQUIRINGIMMEDIATE ATTENTION

Finish Line

Show your race bib number to the officialsupon crossing the finish line. Detach thetag with the bar code and surrender it tothe race official at the end of the chute.

A Few Reminders

Event takes place rain or shine.

Entry fee is non-refundable.

No multiple registration. Each individual isentitled to one (1) entry only.

Electronic results and processing will beused for this run.

GUN START 6:00 A.M.

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