Joyous Run – BOC Climbing Stairs for Charity 2013 (“The Race”)

Entry Form

1.  Competition Categories

Division / Open / Financial / Educational Institution
Men / A / Aged / □ 18 - 35 / □ 18 - 35
Year Born / 1995 - 1978 / 1995 - 1978
B / Aged / □ 36 - 45 / □ 36 - 45
Year Born / 1977 - 1968 / 1977 - 1968
C / Aged / □ 46 - 60 / □ 46 - 60
Year Born / 1967 - 1953 / 1967 - 1953
Women / A / Aged / □ 18 - 35 / □ 18 - 35
Year Born / 1995 - 1978 / 1995 - 1978
B / Aged / □ 36 - 45 / □ 36 - 45
Year Born / 1977 - 1968 / 1977 - 1968
C / Aged / □ 46 - 60 / □ 46 - 60
Year Born / 1967 - 1953 / 1967 - 1953

Remarks: (1) Entries to Men / Women Open will be restricted to Macau residents only. (2) Entries to the Financial / Educational Institutions Division will be restricted to staff members of financial institutions and the Monetary Authorities of Macau, and teachers / students of primary and secondary schools and higher educational institutions only. Entrants of this division should provide copies of their Staff / Teachers / Students IDs with this entry form.

2.  Maximum Number of Entrants (First comes first served)

Men / Women Open - 400 persons ; Financial / Educational Institution - 200 persons.

3.  Declaration of Entrants

Name : Year of Birth : Nationality : Sex : Mobile Phone : Address :
______/ Please stick copy of your ID here
Declaration : I hereby agree to abide by the Rules of the Race and declare that I am medically able and physically fit to participate the Race. I enter into the Race on my own accord. I and my family understand and agree that the host, co-organizers and supporters of this event will not be held responsible if any accident occurred due to my personal negligence, health and physical problems during the Race. I further agree and hereby grant permission of all of the forgoing to use any photographs, motion pictures recording or any other record of this event for any legitimate purpose for free.
Doctor’s comment: ______
Signature and stamp of a registered doctor : Date:

*Photo copy of the form is allowed. Each participant may submit one entry form only. Entry form can be submitted by an authorized third person.