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
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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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