TAKBO MO, REGALO KO 2015
Takbo Mo, Regalo Ko is for the benefit of the SOS Children's Village in Lipa City and Haven for Women in Rosario, Batangas.

RACE VENUE : Lipa City Hall

ASSEMBLY TIME : 4:00 am

GUNSTART:
                  10K: 5:00 AM
                    5K: 5:15 AM
                    3K: 5:20 AM


LAST DAY FOR ONLINE REGISTRATION IS ON DECEMBER 6, 2015.

Sign in to Google to save your progress. Learn more
RACE FEE *
(Inclusive of a dry-fit running singlet, race bib with raffle stub, santa hat, candy cane, finisher's medal and finisher's certificate.)
Required
SINGLET SIZE *
Required
*
FIRST NAME
FAMILY NAME *
BIRTHDAY *
MM
/
DD
/
YYYY
AGE ON THE RACE DAY
SCHOOL/ COMPANY/ TEAM
GENDER *
Required
CONTACT NUMBER (CELLPHONE/LANDLINE) *
E-MAIL ADDRESS *
COMPLETE ADDRESS *
SHIPPING ADDRESS: *
CONTACT PERSON IN CASE OF EMERGENCY: NAME AND CONTACT NUMBER *
PAYMENT PROCEDURE (Add Php 150 for shipping)
Deposit Registration Fee including Shipping Fee (Php150.00) at Banco De Oro under this account:

ACCOUNT NAME: Jeffrey Hernandez
SAVINGS ACCOUNT NUMBER: 005960152097

Scan deposit slip and email to takbomoregaloko@gmail.com and wait for confirmation.

In order to facilitate timely delivery of race kits, bank deposits shall only be accepted until December 13, 2015.
*
Required
WAIVER OF LIABILITY
My participation in this FUN RUN is a voluntary undertaking.
I understand the RISKS INVOLVED IN PARTICIPATING IN THIS EVENT.
I waive any and all claims for myself, my administrators, and my heirs against all officials, sponsors, and organizations connected with the TAKBO MO, REGALO KO for injury or illness that may directly or indirectly result from my participation in this event.
I agree to comply with all the rules and regulations and event instructions for my safety as well as for the safety of the other participant.

*
Required
RACE KIT INCLUSIONS
For more inquiries, please visit the TAKBO MO, REGALO KO Facebook page or call BLACK DREAM TEAM at 0927- 832- 4195.
Check out the poster for more details!
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report