Register
Last Name
Your answer
First Name
Your answer
Birthdate
( should be at least 18 years old )
MM
/
DD
/
YYYY
Gender
Nationality
Your answer
Contact Number
Your answer
Fees
What race category will you participate in?
What are your qualifying races?
Your answer
How many CM50 races (50 miles) have you participated in?
Your answer
Are you aiming for the BAD ASS award (5 consecutive finishes) ?
When or what year is your 5th consecutive finishes?
Your answer
What size (Asian) T-shirt do you wear?
Contact person in case of emergency
Your answer
Contact Number
Your answer
What is your email address?
Your answer
Do you have a pre-existing or existing medical condition ?
If Yes, please specify
Your answer
Waiver
I do hereby acknowledge and fully understand that my participation in the 2017 CLARK MIYAMIT FALLS TRAIL ULTRA (CM50) involves risk of serious injuries and hazards due to rugged and uneven surfaces, some of them far less than perfect, including but not limited to hiking trails, sheer drops, uneven trails, cliffs, lumpy fields covered with grass, rooty and rocky route and weather conditions.

I certify that I have no pre-existing or existing detrimental physical and/or medical condition as examined by a competent licensed medical practitioner who allowed me to participate in this event and that I have trained adequately for this race.

I voluntarily and willingly assume the risk of injuries/hazards as my sole responsibility, including the loss of control or balance in running, walking, hiking, or climbing; weather; collision with trees, rocks, or other obstacles, whether obvious or not obvious. I hereby release, waive, discharge and hold free and harmless the Race Organizer, its marshals, volunteers and the sponsors (collectively known as “Organizer”) from any liability, damage, claim or action arising from my participation in this event. Should I DNF and avail any of the CM50 official 4x4 vehicles for transportation, near or far, during the race, I will voluntarily and willingly pay Php500 for the cost thereof.

Finally, I hereby authorize the Organizer to use my name, image, voice without any payment in any broadcast and print media for the purpose of promoting and marketing the event and the sponsorships and for any other legitimate purpose.

Required
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms