ALOR SETAR SATURDAY NIGHT RIDE

Date : 21 SEPT 2012 (FRIDAY) Flag Off : 8:00 PM Venue : DARUL AMAN STADIUM REGISTRATION FEE : RM10.00 (ADULT)
STEP: RM5.00 (CHILDREN) Bank in your money from the selected A/C SMS your name, i.c no.& TEAM name. For bulk registration pls.EMAIL complete name list with i.c no.& Team. Check name list at http://www.danishevent.com Bring along the original registration form and bank slip/ receipt on goodies collection day. GOODIES COLLECTION : 14 SEPT 2012 (FRIDAY) 5.00PM 8.00PM DARUL AMAN STADIUM

Special prize for:

THE MOST CREATIVE BICYCLE DCOR! & THE BEST APPAREL / CUSTOME / FANCY DRESS OF THE NIGHT!
Name : Address : IC No. : Tel & Mobile : Emergency Contact (Name & Tel No.) : E-mail :

Danish Adventure Management Event Maybank Berhad Acc. No: 502111105887 Email:danishevent@yahoo.com SMS/CALL : 013-5842668 , 0134350745

For More Info : www.danishevent.com

Gender : Male / Female

Club/Team & Location :

LEGAL NOTICE AND DISCLAIMER Participation in the event is at participants own risk
The participant hereby declares warrants and represents to the Organizers that the Participant is 18 years or above. (Participant below the age of 18 is required to complete the Parental Consent section provided below). As a matter of caution, the Participant ought to: 1. Have sought medical examination to ensure that the Participant is certified to be medically fit to participate in the Event; 2. Wherever applicable, have ought to ensure that the Participants insurance policy is not void or voidable as result of the Participants participation in the Event; 3. Have ensure that the Participants sporting equipments and safety gears have been recently examined by a skilled bicycle mechanic and services and certified to be fit for use in such an Event; 4. Have taken cognizance of the fact that the trail designated for this event is extremely challenging and hence requiring much endurance and technical skill to surmount. I HEREBY DECLARE that I have read and fully understood the terms and conditions of participant in the event and participate in the Event at my own accord without any duress and I hereby confirm my unconditional acceptance of the terms and conditions of participation and hereby waive any right of claim against the Organizers, their members, employees, agents or such other parties involved whether directly or indirectly in the preparation, organization and / or management of ALOR SETAR SATURDAY NIGHT RIDE 2012 Yours truly,

SIGNATURE & DATE

FOR PARTICIPANT BELOW 18 YEARS OLD I, , father/mother/legal guardian, hereby acknowledge that I have read and fully understood the terms the conditions of participation in th e Event and hereby consent to of ALOR SETAR SATURDAY NIGHT RIDE 2012 participation in the Event and hereby waive any right of claim against the Organizer, their members, employees, agents or such other parties involved whether directly or indirectly in the preparation, organization and / or management of ALOR SETAR SATURDAY NIGHT RIDE 2012 Signature of Parent / Guardian & I/C No.