(Individual) Hong Pong Charity Run 3.0

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Hong Pong Charity Run 3.0 is an initiative by Persatuan Eng Choon Hong Pong Tan Malaysia. This is a charity run. Part of the profit from this event will be donated to the selected charity.

EVENT DATE : 21st Oct 2018
日期:

VENUE : SJK (C) JENJAROM, SELANGOR
地点:

ASSEMBLY TIME : 6.15 AM
集合时间

FLAG OFF TIME : 6.45 AM
挥旗时间

ROUTE : 5 KM
路线

CLOSING REGISTRATION : 01 OCT 2018
报名截止日期

CONTACT : 0162692061
联系

EMAIL : hongpongrun@gmail.com

Social Media : www.facebook.com/hongpongtan 马来西亚永春鸿榜陈氏公会

Name(Chinese) 姓名（中） *

MyKad No 身份证号码 / Passport No. 护照号码 *

Name(English) 姓名（英） *

Age 年龄 *

H/Phone No 手机号码 *

Gender 性别 *

Male 男

Female 女

Address 地址 *

Size of Running Tee T恤尺寸 *

2XS

2XL

T-Shirt Size T恤尺码

Race Kit Collection (13/10/2018 & 14/10/2018； 10am-2pm) 领取T恤地点 *

Persatuan Tan Sg. Jarom, No24, Tingkat 1, Jalan Permata 2, Taman Yayasan, 42600 Jenjarom

Dynasty Condominium, Jalan Batu Tiga Lama, Kawasan 16, 41300 Klang, Selangor

Emergency contact number 紧急联系号码 *

PAYMENT METHOD付款方式: Your name are officially in only after you made your payment. Please contact us after the payment is made and keep your receipt as a proof of payment. 付款后，请联络我们并收好收据。 *

Individual Registration 个人报名

Group registration （10 pax and above) 团体报名 (10人以上）

Form of registration 报名方式 (Qualifying Time限时完成时间 : 100 minutes) *

男子学生组（10-17岁）School Boys (Age 10-17 )

男子公开组（18-39岁）Men Open (Age 18-39)

男子宿将组（40岁以上）Men Veteran (Age 40 & Above)

女子学生组（10-17岁）School Girls (Age 10-17)

女子公开组（18-39岁）Women Open (Age 18-39)

女子宿将组（40岁以上）Women Veteran (Age 40 & Above)

Waiver Clause *

I (read and) hereby abide by the rules and conditions of the race. I am entering the competition at my own risk and shall not hold the organizer responsible for any accident, injury, death, loss of property however cause before, during and after the race. By entering this competition, I hereby declare that I am fit for the event and I am of suitable health and well being with no known medical conditions that could effect my ability to participate safely and without risk to self and other competitors. I certify that all of the above particulars are correct.

Kindly state your payment reference number; Please make payment first before submitting your form to avoid confusion. TQ 请填写汇款参考单号。若还未付款，请先付报名费，才填写表格。避免混乱。谢谢 *

Bank Detail / 银行户口

Registration fee and Method of Payment报名费和付款方式

Registration fee (only apply to participants aged 10years & above) : 报名费仅适用于10 岁或以上的参赛者

Early Bird Registration fees早鸟价 (before 31/7/2018) : RM40/pax (Individual)

Normal Fee :
RM45/pax ( Individual, after 01/8/2018)
RM35/pax ( Group of 10 and above )

1. Age calculation base in year 2018.
年龄以2018年计算为准

2. Participants below 18 years old must have their entry form signed by parent or guardian.
少过18 岁的参赛者必须由其监护人签署报名表格

3. Number bib must be worn at all times during the race. Number Bib should be pinned in front of your running shirt.
竞赛编号必须从比赛开始至结束掛在胸前

4. All protests related to the results must be made to the Race Organizer within 30 minutes before the official announcement of winners.
若对于竞赛成绩有任何异议, 请在30分钟内向主办当局呈报.

5. All participants will stand to receive the following entitlement

• BROOKS T-shirt
• Number Bib

所有参赛者将获得一件BROOKS高品质T 恤一件和竞赛编号.

6. The organizer's reserve the right to make the final decision & judgement.
本赛会细则若有未尽善之处, 主办当局有权修改及做最后的决定

7. All runners will stand to receive the following entitlement after finishing the race.
• Finisher Medal
• Goody bag
• Finishing Certificate

所有完成赛程的参赛者将获得奖牌一枚，文凭一张，一份礼包

8. First Aid Stations
Medical aid will be available at certain points along the way and at the finish point. 现场将备有救伤人员

9. Prizes & Awards :
Top 10 winners from all categories will receive a trophy. 各组首十名将获得奖杯一座

10. Drinks & Refreshment
There will be one drink station. Light refreshment will be served to all runners from 8.00 am - 9.00 am
跑程中途将设有一个饮水站., 终点站将设有水果站和饮水站

11. Lucky Draw
A grand lucky draw will be held after the race for all runners. 赛后将有幸运抽奖环节

Payment can be made through bank in : 填妥之后汇款至 UOB 银行户口.
Account Name : Persatuan Eng Choon Hong Pong Tan Malaysia Youth Section
Account #银行户口 : 1713073526
Bank : UOB

For online payment, Kindly write your IC number as payment reference.
For bank in payment, kindly send a snapshot of the bank-in slip with name & IC number/passport number written for confirmation of registration to 0162692061请将银行的收据电邮至hongpongrun@gmail.com 或是
---> 手机信息至 0162692061 (whatsapp)就可以了。活动单位将会给予一组收据单号

ENTRY FORM PAGE 1

ENTRY FORM PAGE 2

BROOKS T-SHIRT

MEDAL

Rules and Regulations:条规

1. To avoid confusion, we do not accept on-site registration. 为了避免混乱，不接受现场报名
2. I hereby declare that I am medically fit and I am entering the event at my own risk and will not hold this organizing committee responsible for any injuries for accidents which may incur before, during and after the event.
我兹证明以上资料确实无误，并愿意遵守主办单位的所有规则。若在比赛前、比赛期间或比赛后发生任何意外，一概由本人自己负责
3. Registration Fee is non-refundable. Entry is non-transferable.报名费怒不退还，名额也不能转让
4. Change of race category after registration is not allowed. 报名后不得转换组别

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