Running Event Registration Form

Wednesday, June 27, 2012

Live Run Love Charity Run 2012

Date: 22nd September 2012, Saturday
Venue: IMU, Bukit Jalil
Race Start Time: 6am
Distance3km, 5km & 10km
Category:
A - Men Open (18 years old & above) - 5km
B - Women Open (18 years old & above) - 5km
C - Men Open (16 years old & above) - 10km
D - Women Open (16 years old & above) - 10km
E - Men Veteran Open (above 40 years old) - 10km
F - Women Veteran Open (above 40 years old) - 10km
G - Family Run - 3km
*Min 1 adult with 1 kids, Max 2 adults with 3 kids*

Entry Fee:
Category A & B = RM35
Category C to F = RM40
Category G = RM35 (Adult), RM15(Kid)

Registration Info:
Online Registration & Payment is available..........

Manual Registration:
Completed Entry Form can be handed personally with payment to:
International Medical University,
No.126, Jalan 19/11B. Bukit Jalil,
57000, Kuala Lumpur
Tel: 603-8656 8228   Fax: 603-8656 7229

Race Prize:
Cash Prize: For First 3 qualified finisher's for category A to F.
Achievement Medal:  For First 10 qualified finisher's for category A to F.
Trophy: For First 3 qualified teams for category G.
Achievement Certificate: For First 3 qualified finisher's for category A to F.
Finisher's Medal: For First 50 qualified finisher's for category A to F.

Participants Entitlement:
- Finishers Certificate will be given to all family participants (Category G) who finish the race.
- Goodie Bag
- T-Shirt (except children)
- Breakfast

For additional information, please contact to:
Dave: 017-3822569
Kogilla Rajamanikam: 03-8656 8813
Seng Wai: 012-512 9139
Vincent Lee: 017-2856 976
Or visit to Official Website..........

Closing Date Registration: 15th August 2012

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