Saturday 28 May 2016

PAC All-Night Walk 2016


PAC All-Night Walk 2016

Venue : Start and end at Penang city stadium

Distance : 38 km (from City Stadium to Penang 2nd bridge and back)


Date : 30th to 31st July, 2016 (Saturday to Sunday)

Duration : 9 hours walk from 10 pm till next morning 7 am.

Entry Fees : RM30/=


Entitlement : Event shirt (dry fit material), Finisher's medal,
Certificate and Lucky draws.
Food/drink : Few drinking stations along the way providing hot
kopi "O" or drinking water.

Closing date : 3rd July 2016 or first 250 entries


Open to public aged 16 years old and above on 30 July 2016
Participants aged below 18 years old are required to obtain Consent from their parents/guardians.

Register center :
(1) Brunei Clinic, No41, Jln Aziz Ibramim, Sungei Nibong.
(2) MYCO2 SDN BHD, NO1, Jln Lengkok Kikik 1, Tmn
Inderawasih, Prai.
(3) On line registration- payment through CIMB bank, account
no. 8004326226. (Kelab Pengembara Pulau Pinang)
email your entry forms and bank in slip toinfo@pac.com.my
(write your name, IC /PASSPORT NO. on bank-in-slip)



T-shirt collection : 
Date: 23 July 2016 (Saturday) 
Venue: Penang City Stadium, Lorong Kulit
Time2.00pm to 5.00pm 

Enquiry : WONG PK - 012-5435612 or email - info@pac.com.my

Facebook ---> CLICK HERE

Website ---> CLICK HERE 


ENTRY FORM - PAC ALL-NIGHT WALK 2016

NAME





















































IDENTITY CARD NO/ PASSPORT NO                                             NATIONALITY



























AGE ON 30-07-2016                                                                        GENDER


years



months






Male



Female







ADDRESS














































































 
POSTCODE                                       E-MAIL



























HOUSE PHONE                                                                       HAND PHONE



























EMERGENCY CONTACT                                                                  NAME & RELATIONSHIP













                                                                                                                    ______________________________________                                                                                        
SHIRT SIZE
S



M




L



XL



XXL









 

I hereby agree to abide by the rules and regulations of the event and will not hold the organizer and sponsors liable in the event of death, injuries or accidents before, during and after my participation in the above event.

In accordance to the PDPA Act of Malaysia 2013, please be informed that the Organizer will take all precaution in protecting your data and it will only be used for internal purposes unless required by Laws of Malaysia or for any others purposes deemed utmost important and urgent that will be determined at the particular point of time by the Organizer. However, the Organizer will not be liable for any misuse of this data through your own negligence.




____________________        _______________________________      
Date                                       Participant’s Signature


Participants below 18 years of age, please fill in the following

I, __________________________________________________________ (NRIC No: ____________________) hereby agree and permit my son/daughter/ward _______________________________ to participate in the PAC ALL-NIGHT WALK 2016 at his/her own risk. I shall indemnify and keep indemnified that Penang Adventurers’ Club, the organizer, helpers and sponsors from and against all suits, actions, demand, damages, losses, liabilities (whether criminal or civil), expenses and cost whatsoever arising from his/her death, injuries or accidents relating to or in connecting with his/her participation before, during & after the walk.


                                                                                                                                                                                                              ____________________        ______________________________
Date                                            Parent/Guardian Signature                                                          




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