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BIG FOOT MARATHON REGISTRATION FORM

RIVERBANKS

CENTER

84 A. Bonifacio Avenue, Barangka, Marikina City


570-0701 to 06 local 333
(0943) 907-0191
zggapit@riverbankscenter.com
www.riverbankscenter.com

Amphitheater, Riverbanks Center, Marikina City May 29, 2016 (Sunday) 3:00am
REGISTRATION PROCESS:
1. Download and fill out this registration form completely
2. Pay the corresponding amount based on the category (distance of run) to the bank details provided below
Bank: Bank of the Philippine Islands (BPI)
Account Name: RIVERBANKS DEVT. CORP.
Account Number: 1635-0003-56
3. Send filled out registration form and bank receipt to the Riverbanks Center, or email or fax provided above.
4. Claiming of singlet and race bib is on May 15-28, 2016 at Riverbanks Center Admin Office or at the event site on May 29, 2016 at 1:00am

CATEGORY:
Fee:
Inclusion:
Gun Start:
Requirement:

3K

5K

10K

21K

42K

P 250.00
Race Bib &
Finisher Medal
5:45am
Physically Fit

P 350.00
Race Bib, Singlet &
Finisher Medal
5:30am
Physically Fit

P 500.00
Race Bib, Singlet &
Finisher Medal & Shirt
5:00am
Physically Fit

P 700.00
Race Bib, Singlet
Finisher Medal & Shirt
4:00am
Medical Certificate

P 800.00
Race Bib, Singlet
Finisher Medal & Shirt
3:00am
Medical Certificate

SURNAME

FIRST NAME

NUMBER/BUILDING

STREET/SUBDIVISION

BARANGAY

CITY

MIDDLE NAME

PROVINCE/REGION

MOBILE NUMBER

HOME NUMBER

EMAIL

GENDER

AGE

BIRTHDAY

OCCUPATION

SCHOOL/COMPANY

IN CASE OF EMERGENCY, PLEASE PROVIDE NAME AND CONTACT NUMBER

NAME
SINGLET AND FINISHER SHIRT SIZE

EXTRA SMALL (W: 30-32 L: 24)

SMALL (W: 34-36 L: 26)

MEDIUM (W: 38-40 L: 30)

LARGE (W: 42-44 L: 31)


EXTRA LARGE (W: 46-48 L: 32)
DOUBLE EXTRA LARGE (W: 48-50 L: 33)

CONTACT NUMBER

WAIVER OF LIABILITY AND DECLARATION


I hereby declare that I understand the conditions of the Big Foot Marathon (Activity) which I have
entered and will abide by its rules and guidelines. All details that I have provided in the Official Entry
Form are true and correct. I am aware and acknowledge that all participants enter and join the Activity
at their own risk. Accordingly, on behalf of my heirs, my executors, administrators, assigns and myself.
I hereby waive and irrevocably release all rights or claims for damages, any illness(es), injury, damage,
loss or even death against the Riverbanks Center and Prominens, Inc. their agents, representatives,
sponsors, contributors, successors, assigns, directors, officers, stockholders, and employees as a
consequence of my participation in the Big Foot Marathon.
Furthermore, I hereby irrevocably release and forever discharge them from any and all actions, sums of
money, accounts, damages, claims and demands whatsoever which in law or in equity, I had, now have
or hereafter may have by reason of any matter, cause or thing whatsoever or which could have been
directly or indirectly adjudged arising out of, connected with, related/incidental to, or as a result of my
participation in the said Activity.
I hereby clarify that I am physically fit to participate in the Activity and that my fitness has been certified
by a licensed physician. In the event that my fitness to participate in the Activity has not been certified
by a licensed physician, then my participation in the activities of the Run for the Gavel is entirely of my
own violation and at my sole risk.
I hereby agree that I am not entitled to refund my entry fee in the event of race cancellation due to rain,
storm, inclement weather or any unforeseen condition or event, or any force majeure of for any cause
beyond the reasonable control of the Organizers.
Finally, I hereby certify that I voluntarily executed this WAIVER OF LIABILITY AND DECLARATION and
that I have fully read and understood the contents and consequences.

SIGNATURE OVER PRINTED NAME