Amazing Impact Race Registration Form

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Thank you for your interest in participating in the Amazing Impact Race! We're excited that you're ready to join the adventure! To complete your registration, please follow these simple steps:

Fill in the form below: Make sure your contact details are correct.
Wait for our confirmation: Our team will reach out to you shortly with the bank details where you can make the payment.
Payment Confirmation: After receiving the bank details, please complete the transfer and send us proof of payment within 1x24 hours to secure your spot.

Special Group Pricing - the total group payment should be made in one single transaction:

1 pax: IDR 250,000
2-3 pax: IDR 225,000 per person
4 pax: IDR 200,000 per person

Spot is limited to 40 participants so process your payment as soon as possible. Once the payment is confirmed, you’ll officially be registered as a participant in the Amazing Impact Race! 🎉

Important Information: Participants under 18 must be accompanied by a parent or guardian during the race. Please make sure to include this information when registering.

What to Bring:

A water bottle to stay hydrated
Sun protection (hat, sunglasses, sunscreen)
Comfortable clothes and footwear for an active day
And most importantly, your positive and fun energy! 🌟

Reminder:
You don’t need to have a complete team of three or four people to register! You can register as an individual or register both you and your friend, and we’ll pair you up with other participants to form teams of three or four on the day. Earth Company team will ensure everyone is placed in a fun and competitive team!

We can’t wait to see you on May 10! If you have any questions, feel free to email tya@earthcompany.info.

Email *

Record my email address with my response

Personal Information

Full Name *

Email address *

WhatsApp Number *

Age *

< 18 y.o

19 - 34 y.o

25 - 54 y.o

> 54 y.o

Nationality *

Where did you hear about Amazing Impact Race? *

Social Media (Instagram/Facebook/LinkedIn)

Word of mouth

Other:

Do you give permission to Earth Company to take photos during the event and use them for promotional purposes?
*

Yes, I'm ok with photos

I have concerns (Earth Company staff will follow up to clarify your concerns)

Are you registering as an individual or with a team?
*

As an individual - worry not, we will pair you up with a team!

As a team

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