SimplyGiving: Online Fundraising & Crowdfunding Across Asia

First Name

Last Name

Email

Confirm Email

Contact Telephone Number

Please enter numbers only.

Shipping Address (for T Shirt orders)

Street

City

State

Zip Code

Country

Please select your Race Category

Open Race RM 45 inclusive of Tshirt

Pro Race 10KM RM 65 inclusive of Medal and Tshirt

Select your T Shirt Size

XXS (Shoulder 14”, Chest 34”, Length 23”)

XS (Shoulder 15”, Chest 36”, Length 24”)

S (Shoulder 16”, Chest 38”, Length 25”)

M (Shoulder 17”, Chest 40”, Length 26”)

L (Shoulder 18”, Chest 42”, Length 27”)

XL (Shoulder 19”, Chest 44”, Length 28”)

2XL (Shoulder 20”, Chest 46”, Length 29”)

3XL (Shoulder 21”, Chest 48”, Length 30”)

Liability, Waiver & Release :
Upon acceptance of my entry, I, for myself, my heirs, and assigns, hereby release the sponsors and officials of CTC Virtual Charity Run 2021 from any and all liability arising from illness, injury, or death I may suffer as a result of my participation in this event. I attest that I am physically fit and have sufficiently trained or prepared for this event and I am aware that my participation could in some circumstances result in physical injury. I give permission for use of my name and pictures in any social media broadcast or written account of this event. I understand that my registration fee is NON-REFUNDABLE.

I hereby acknowledge that i have read & agree to the above statement

Yes

CTC Virtual Charity Run 2021

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