BOHOL INTERNATIONAL MARATHON 2013
FULL MARATHON - HALF MARATHON - 10 KILOMETERS
AUGUST 25, 2013 - 12 MIDNIGHT
Facebook Page: BOHOL INTERNATIONAL MARATHON E-mail bohol_ultra@yahoo.com
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I am running
Full Marathon - 42.195 kilometers
Half Marathon - 21 kilometers
10 kilometers
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I paid the registration fee
Full Marathon PHP 1,500 (singlet, finisher shirt, finisher medal, pre race carbo loading, post race snacks)
Half Marathon PHP 1,000 (singlet, finisher medal, pre race carbo loading, post race snacks)
10 kilometers PHP 500 (singlet, post race snack)
Contact person and number in case of emergency
Metrobank Account No. 007712002707, Name: Ma. Ermalinda C. Amores or Western Union - Recipient's Name: Brandon F. Bon
Please scan receipt with your written name/names if in team or group.
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Please read carefully. You will be signing this upon claiming your race kit.
Accident Waiver and Release of Liability I acknowledge that this athletic event is an extreme test of a person’s physical and mental limits and carries with it the potential for death, serious injury and property loss. The risks include, but are not limited to, those caused by terrain, facilities, temperature, weather, condition of athletes, lack of hydration, equipment, vehicular traffic, actions of other people including, but not limited to, participants, volunteers, spectators, journalists, coaches, event officials, and event monitors, and/or producers of the event. The risks are not only inherent to athletics, but are also present for volunteers and support staff. I hereby assume all of the risks of participating and/or volunteering in this event. By signing this Waiver and Release, I certify that I am physically fit, have sufficiently trained and prepared for participation in the event and have not been advised otherwise by a qualified medical person. I understand and accept that during the event, the medical assistance available to me is limited to first-aid treatment, as is the standard policy with the ambulance providers. If such first-aid treatment is availed of, and should the medic-on-duty determine the further treatment in a hospital is required, I consent to such transport to the nearest medical facility. However, if the medic determines that no further treatment is necessary, and I insist otherwise, I agree to pay for all corresponding hospital expenses, which may result therein. The race organizers and sponsors are in no way liable or responsible for medical costs or emergency evacuation. In consideration of my application and permitting me to participate in this event, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows: () Waive, Release and Discharge from any and all liability for my death, disability, personal injury, property damage, property theft or actions of any kind which may hereafter accrue to me or my traveling to and from this event, the following entities or persons: Event Organizers, Sponsors, their directors, officers, employees, volunteers, representatives, and agents, the event holders, event sponsors, event volunteers, as well as any and all involved municipilaties or other public entities, (and their respective agents and employees) () Indemnify and Hold Harmless the entities or persons mentioned in this paragraph from any and all liabilities or claims made by other individuals or entities as a result of any of my actions during this event. I understand that at this event or related activities, I may be photographed, filmed, and/or videotaped. I agree to allow any and all information submitted in my application and or my name, photo, video or film likeness to be used for any legitimate purpose by the event holders, producers, sponsors, organizers and assigns, including pre-race and post race publicity. I give my consent to receive race updates and other event announcements via electronic mail through the email address provided in the registration form. I also understand that the race directors and/or officials, have the right to reject any entry and pull anyone from the race who is considered to be disrespectful and/or discourteous to the local environment, people, or other participants. I acknowledge that this Accident Waiver and Release of Liability (AWRL) form will be used by the event holders, sponsors, and organizers, in which I may participate and that it will govern my actions and responsibilities at said events. I understand that this AWRL shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law. I hereby certify that I have read this document; and, I understand its content. It is further understood and agreed that this waiver, release and assumption of risk is to be binding on my heirs and assigns. PARENT GUARDIAN WAIVER FOR MINORS (Under 18 years old) IF APPLICABLE The undersigned parent and natural guardian or legal guardian does hereby represent that he/she is, in fact, acting in such capacity and agrees to save and hold harmless and indemnify each and all of the parties referred to above from all liability, loss, cost, or damage whatsoever which may be imposed upon said parties because of any defect in or lack of such capacity to so act and release said parties on behalf of the minor and the parents or legal guardian. Signature__________________Date ____________ Address City/Town _______________________ Name______________________________________ _______________________________________ Phone ____________________ Emergency Contact_______________________ Address City/Town _______________________________ Phone___________________________________
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