Craze Ultra 100 Miles 2012 - Registration Form
Event Website: www.crazeultra.com

Date: 22-23 September 2012 (Saturday & Sunday)
Time: 0700hrs Saturday till 1500hrs Sunday
Venue: Reservoir Deck @ MacRitchie Reservoir, Singapore (http://www.streetdirectory.com/asia_travel/travel/travel_id_54034/travel_site_1/)
Organizer: Running Guild (www.runningguild.com)
Craze Ultra on Facebook: http://www.facebook.com/CrazeUltra

Categories:
Individual - 43km / 78km / 101km / 100 miles(160.9km)
Team Relay - 43km / 78km / 101km / 100 miles(160.9km)

Registration as a Team Relay:
Please ask every team member to submit their own registration via this online form, but please indicate the same team name so we know you are of the same team.

Safety:
Please understand that an Ultramarathon is a very challenging event.  It is essential that you train for it.

Transfer of Entries:
You may transfer your entry without any fee/charges to another person if you are unable to attend the event.  Please inform the organizer at runningguild@gmail.com by 8 September 2012.

Registration Fees:
To view, please go to http://www.crazeultra.com/p/register.html 

For more event Information, please go to our Event Website at www.crazeultra.com

T-Shirt & Singlet Sizes:
(Circumference of the Chest, at armpit level, in inches)
XXS - 34 inches
XS - 36 inches
S - 38 inches
M - 40 inches
L - 42 inches
XL - 44 inches
XXL - 46 inches
OR Please click this link to view: http://www.crazeultra.com/p/event-souvenirs.html

Payment:
An email containing payment details will be sent within a few days to your email based on your registration form (please ensure you key in the correct email address).  Please note there will not be an auto-generated email sent after you submit the form.

Contact:
For any clarifications, please send an email to runningguild@gmail.com


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Category
Category *
Please select which category you wish to take part in
What is your Team Name?
Applicable only if you're joining as a Team.  Please limit to 16 characters including spaces as we will print your Team Name on your bib.  Please ensure you enter the exact Team Name as your team mates.
Personal Particulars
Your Name *
Email *
Please ensure your email is correctly entered.
Contact Number *
Please include your country and area code if you're not from Singapore
NRIC or Passport (if non-Singaporean) *
Date of Birth (DD/MM/YY format) *
Gender *
Address (including Postal Code)
Nationality/Country of Origin *
Emergency Details
Blood Type *
If not sure, key in "Unknown"
Emergency Contact Name *
Emergency Contact Number *
Please ensure this is correct.
PAR-Q (Physical Activity Readiness Questionnaire)
Regular physical activity is fun and healthy, and increasingly more people are starting to become more active every day.  Being more active is very safe for most people.  However, some people should check with their doctor before they start becoming much more physically active.

If you are planning to become much more physically active than you are now, start by answering the seven questions below.  If you are between the ages of 15 and 69, the PAR-Q will tell you if you should check with your doctor before you start.  If you are over 69 years of age, and you are not used to being very active, check with your doctor.

Common sense is your best guide when you answer these questions.  Please read the questions carefully and answer each one honestly: Check YES or NO.
1. Has your doctor ever said you have a heart condition and that you should only do physical activity recommended by a doctor? *
2. Do you feel pain in your chest when you do physical activity? *
3. In the past month, have you had chest pain when you were not doing physical activity? *
4. Do you lose your balance because of dizziness or do you ever lose consciousness? *
5. Do you have a bone or joint problem (for example, back, knee or hip) that could be made worse by a change in your physical activity? *
6. Is your doctor currently prescribing drugs (for example, water pills) for your blood pressure or heart condition? *
7. Do you know of any other reason why you should not do physical activity? *
If you have answered “Yes” to one or more of the above questions, consult your physician before engaging in physical activity. Tell your physician which questions you answered “Yes” to. After a medical evaluation, seek advice from your physician on what type of activity is suitable for your current condition.
Optional Purchase for Craze Ultra 100 Miles
Sizes of T-Shirt & Running Singlet
(Circumference of the Chest, at armpit level, in inches)

XXS - 34 inches
XS - 36 inches
S - 38 inches
M - 40 inches
L - 42 inches
XL - 44 inches
XXL - 46 inches
Event T-Shirt Order
SGD $15 / RM 38 each. Please indicate Size & respective Quantity.  Example: Medium/2, Small/1
Singlet Order
SGD $20 / RM 50 each.  Please indicate Gender, Size & Quantity. Example: Male/Medium/1
Finisher Items
Please select which item(s) you wish to purchase
Clear selection
Size of Finisher T-Shirt
Applicable only if you opted to purchase the Finisher T-Shirt
Clear selection
Others
How did you find out about the Craze Ultra 100 Miles 2012? *
You may select more than 1
Required
Race History *
Please indicate the name & distance of the longest event/race on foot you have completed & when it was done.
Payment
What is your preferred payment mode? *
Please verify all your entries before clicking on the Submit button.  

There is no auto-generated acknowledgement via email of your your submission.  

Once your registration has been received successfully, we will send an email with payment details to you within 1 week.

You acknowledge that participation in an ultramarathon is very challenging and by submitting this form, you certify & declare you are in good health and will not hold the organiser nor involved parties responsible for any injury/injuries and/or death as a result of your participation in the Craze Ultra 100 Miles.
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