Online Registration Form
Run For Your Heart 3.0 (Fun Run)
Date: 24-08-2019
Time: 6.00am - 10.00am
Venue: U SENTRAL SEGAMAT
Perks: T-SHIRT & MEDALS (First 500 Finishers)
DIstance: 5KM

Fees:
Early Bird - RM25 (Closed on 6/7/2019)
Normal Price - RM30

For more information, please contact
- You Jie佑杰 (011-3618 3288)
- Qi Xin祺惞 (011-2752 1599)
- Xiao Ting (011-14245700)

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Steps to pay
Step 1: Fill in the online registration form
Step 2: Make the payments by online transfer to

YMM CAWANGAN SEGAMAT BARU
00700079135
HONG LEONG BANK

Step 3: Email your receipt/bank slip to
[ ymmsegamat@gmail.com / WhatsApp ]
(person in charge:  011-14245700 xiaoting/ 018-2128783 yanyee)

Remember to pay the registration fees to complete the online registration process.
Name 姓名 *
Example: LEON WONG
Gender 性别 *
Age 岁数 *
Example: 18
I/C No 身份证号码 *
Example: 001223-99-1688
H/P No手机号码 *
Example: 011-2345678
Email address 电邮 *
Size Measurement 衣服尺码
T-Shirt Size (Unisex) T恤尺码（不分男女） *
*T-Shirt is NOT EXCHANGEABLE
T-shirt Collection 领取衣服
Date日期：23-08-2019 (Friday)
Time时间：10.00AM – 6.00PM
Location地点：U-Sentral Segamat (In front of the indoor stage) 室内舞台前面

Registration Type 报名类型
Clear selection
Disclaimer 豁免法律责任及声明 *
I hereby confirm that all the particulars given above are true. I fully understand the rules and regulations. I am fully responsible for my own safety. Neither me nor anybody relating to me should claim any indemnification against Run For Your Heart 3.0. Should there be any dispute pertaining to rules and regulations of this event, the Chinese version is to be respects. 仅此声明本人以上提供的个人资料全部属实，并完全了解上诉活动性质及体能要求情况下报名参加，愿意遵守有关活动规则；根据前途事项，本人、本人之继承人、本人之遗属执行人及本人之管理人仅此豁免Run For Your Heart 3.0 (随心跑)主办单位及其他直接或间接与此活动有关人士/工作人员/组织队於本人因参加是项长跑而由于任何原因，包括疏忽，所导致之疾病、死亡、个人损失或经济损失之任何法律责任，以及放弃任何有关之权利、索偿及追究行动。本人同时即在此声明本人身体状态良好及有足够训练完成长跑，并授权举办者及其赞助机构使用任何有关此项长跑之相片，录影带及长跑记录做任何合法用途。
Remarks 备注
Particulars given are strictly meant for Run For Your Heart 3.0 only. If untrue particulars are given, we reserve the right to reject your application. Sizes of T-shirts given to runners are subject to availability of stock. Please submit your application before 03-08-2019 together with RM30 (Normal Price), RM25 (Early Bird) via online transfer or contact our representatives.

您提供的资料只做报名、统计、日后联络及宣传大会活动之用。有关您的个人资料，除大会授权职员外，将不会提供与其他人士。诺要求更改或索取您申报的个人资料，可与本单位联络。如您未能提供所需个人资料，大会可能无法处理您的申请。未满18岁参加者，必须由家长或监护人签署。请于03-08-2019截止日期前，将报名表格及RM30(原价), RM25(早鸟)交到海报上注明的报名负责人进行登记*所选择的尺码将视乎存货量而作适当分配。

How to pay online?
Step 1: Bank in to YMM Segamat bank account.

YMM CAWANGAN SEGAMAT BARU
00700079135
HONG LEONG BANK

Step 2: Email the bank slip/receipt to:
[ ymmsegamat@gmail.com / WhatsApp ]
(person in charge:  011-14245700 xiaoting / 018-2128783 yanyee)


*Please remember to pay the registration fees to complete the online registration process.*
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